A case of diaphragmatic hernia incarceration after a heart transplant operation

Masaru Sasaki, Tsuyoshi Takahashi, Soichiro Funaki, Koji Tanaka, Yasuhiro Miyazaki, Naoko Ose, Tomoki Makino, Yukinori Kurokawa, Makoto Yamasaki, Kiyokazu Nakajima, Yasushi Shintani, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of a diaphragmatic hernia after a heart transplant operation. A 43-year-old woman, who underwent orthotropic heart transplantation for hypertrophic cadiomyopathy two year earlier, presented with vomiting and epigastric pain. A computed tomography scan showed that the stomach and transverse colon were dislocated in the left thoracic cavity. We diagnosed left diaphragmatic hernia incarceration and performed laparoscopic repair of the diaphragmatic hernia. A 12 × 8 cm diaphragmatic defect was found intraoperatively on the ventrolateral aspect of the left diaphragm, and the stomach with volvulus had herniated into the thorax through the defect. The hernia was considered to be iatrogenic. The diaphragmatic defect was large, and the diaphragm was thinning. We closed the defect by mesh repair. Laparoscopic mesh repair of the diaphragmatic hernia could be performed safely and with minimal invasiveness.

Original languageEnglish
Pages (from-to)116-119
Number of pages4
JournalAsian journal of endoscopic surgery
Volume14
Issue number1
DOIs
Publication statusPublished - Jan 1 2021

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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