Enterothorax nach laparoskopischer Nephrektomie

Abstract

Diaphragmatic hernia can be inborn as well as acquired. We report on the manifestation of an intrathoracic hernia after laparoscopic nephrectomy. Intraoperative and postoperative complications could make intense medical treatment or further surgery necessary. In cases of lasting abdominal discomfort or pulmonary symptoms after abdominal surgery, radiological investigation to exclude intrathoracic hernia should be considered.

Post-nephrectomy diaphragmatic hernia. Increase suspicion and decrease morbi-mortality: two cases report

“…The majority are located on the left side, probably due to the ‘protective’ effect that the liver exerts over the diaphragm (hence the special rarity of our first case), and can develop from the first day to years after the procedure [ 5 ]. In post-nephrectomy hernias, patients may present with latent symptoms or it may appear as a casual finding in an imaging test, which means that this pathology can be underdiagnosed [ 6 ]. In cases of acute symptoms, the most typical symptom is epigastric and/or chest pain, which is at times associated with dyspnea, reduced breath sounds and even appearance of bowel sounds in the chest.…”

Laparoscopic treatment of adult diaphragmatic hernia after minimally invasive hepatectomy: A case report and literature review

“…Surgery is the second most common cause of acquired DH is surgery [1]. DH has been described after different types of surgery, including left colectomy [9], Ad-DH has been described after different types of surgery, including left colectomy [9], Adrenalectomy [10], spleno-distal pancreatectomy [11], gastrectomy [12], nephrectomy [13][14][15][16], debulking surgery [17,18], coronary artery bypass graft with the right gastroepiploic artery [19], pericardial window fenestration, and lung surgery [20,21]. However, most postsurgical DH cases have been described after hepatectomy and radiofrequency ablation [22][23][24].…”

“…Nevertheless, its etiology appears to be multifactorial [25,31,32]. To avoid the possible development of DH, the smallest defect should be closed [14].…”