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

Abstract

Post-nephrectomy diaphragmatic hernia is an extremely rare condition. The symptoms may be acute or latent and will depend on the herniated organ, which makes it difficult to suspect. Therefore, it is necessary to know about this type of iatrogenic hernia to avoid a delay in diagnosis. A radiological confirmation with computed tomography and early surgical treatment greatly decreased the morbidity and mortality. We report two cases: a 76-year-old male, who underwent a right nephrectomy 18 days prior due to a renal carcinoma; and a 59-year-old woman, who underwent the procedure 4 years prior due to left renal atrophy.

Spontaneous Right-Sided Diaphragmatic Hernia: A Rare Cause of Small Bowel Obstruction

“…Management of diaphragmatic hernia involves a multidisciplinary approach tailored to the individual patient's condition, considering factors such as the type of hernia (congenital or acquired), symptoms, and overall health status [ 2 ]. In cases of congenital diaphragmatic hernia (CDH), especially in newborns, surgical intervention is typically required shortly after birth to reposition the abdominal organs into the correct place and repair the diaphragm [ 1 , 16 ]. In situations where primary closure is not possible due to the size of the defect, mesh repairs can be used, and in some cases, laparoscopic approaches may be feasible [ 17 ].…”

Trapped diaphragmatic hernia with necrosis of the gastric wall – Case Report and literature review

“…The procedure after this is surgical. Usually, the procedure is performed with an open abdominal approach, and repair is performed through the primary closure [10,21]. In cases where primary closure with non-absorbable sutures is not possible due to the size of the defect, mesh repair may be an alternative [1,10].…”

Iatrogenic incarcerated diaphragmatic hernia following laparoscopic resection of a diaphragmatic cystic lymphangioma: A case report

“…Consequently, right diaphragmatic ruptures typically result from direct penetrating trauma or intraoperative injuries [ 6 ]. Through the literature survey, most of the iatrogenic right diaphragmatic hernias are illustrated in scattered case reports following laparoscopic cholecystectomy [ 7 ], laparoscopic fenestration of benign cysts [ 1 ], hepatic resection [ 2 ], right nephrectomy [ 8 ] and accounting only for 52 cases over a period of 24 years. Because of these rather limited scientific publications on the subject, its exact incidence, mechanisms, and prevention are still mysteries that elude us to the present day.…”