Akademik Veri Yönetim Sistemi
Journal of Clinical and Investigative Surgery, cilt.4, sa.2, ss.127-131, 2019 (Hakemli Dergi)
Abstract Diaphragmatic hernias may be either congenital or acquired. Acquired diaphragmatic
hernias generally develop in association with blunt or penetrating thoraco-abdominal
injuries. Iatrogenic diaphragmatic hernias are rare in the literature. Traumatic
diaphragmatic ruptures are diagnosed during the imaging tests performed due to
accompanying organ injuries or during surgery. However, acquired diaphragmatic hernias
developing in the late postoperative period are uncommon, and the difficulties in diagnosis
may result in increased mortality and morbidity. The use of electrocautery and other
electric devices during the release of hepatic ligaments is thought to result in
diaphragmatic hernias in the late period of diaphragmatic injuries that are missed during
surgery.
We describe the diagnosis and the therapeutic course of a case undergoing laparoscopic
right hepatectomy due to hepatic alveolar echinococcosis and taken for emergency surgery
with diagnoses of diaphragmatic hernia and intestinal obstruction approximately 20
months subsequently in the light of the current literature.
Keywords diaphragmatic hernia, hepatectomy, diaphragmatic injury, intestinal obstruction
Highlights ✓ Minor traumas occurring in the diaphragm during surgery may gradually result in hernias.
✓ The post-hepatectomy DH is an exceedingly rare, but life-threatening condition.
✓ Delayed dıagnosis and treatment may result in severe morbidity and mortality