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Repair of Bochdalek hernia in an adult complicated by abdominal compartment syndrome, gastropleural fistula and pleural empyema: Report of a case.

Suzuki T, Okamoto T, Hanyu K, Suwa K, Ashizuka S, Yanaga K - Int J Surg Case Rep (2013)

Bottom Line: Mesh extraction and fistulectomy were performed.A PubMed search for the case of ACS after repair of the adult BDH revealed only three cases, making this very rare condition.In dealing with adult BDH, possible post-repair ACS should be considered.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, The Jikei Universiy, Daisan Hospital, Japan. Electronic address: toshiaki1129jp@yahoo.co.jp.

No MeSH data available.


Related in: MedlinePlus

(A) Intra-operative photograph showed a defect in the diaphragm. (B) The defect was repaired with a ePTFE mesh. (C) Edematous and dilated bowel due to strangulation in congenital diaphragmatic hernia. (D) Laparotomy wound was closed with a Composix mesh (X: diaphragm; Y: liver).
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fig0015: (A) Intra-operative photograph showed a defect in the diaphragm. (B) The defect was repaired with a ePTFE mesh. (C) Edematous and dilated bowel due to strangulation in congenital diaphragmatic hernia. (D) Laparotomy wound was closed with a Composix mesh (X: diaphragm; Y: liver).

Mentions: The patient underwent emergency laparotomy during which a left posterolateral diaphragmatic hernia with incarceration of the small bowel, transverse colon, and most of the stomach was detected. No hernia sac was found and the left lung was hypoplastic. There was no intestinal malrotation. After reduction of misplaced organs in the mediastinum into the abdominal cavity, the left lung appeared well-formed but small. Organ color returned to normal once the mesentery was straightened. The fornix of the stomach was fixed to the diaphragm and the large diaphragmatic defect was repaired with combined simple closure and expanded polytetrafluoroethylene (ePTFE) mesh (Fig. 3a and b). Due to LOD for abdominal organs, the abdominal wound could not be closed directly, therefore Composix™ mesh (Bard mesh) was placed to bridge the fascial defect (Fig. 3c and d).


Repair of Bochdalek hernia in an adult complicated by abdominal compartment syndrome, gastropleural fistula and pleural empyema: Report of a case.

Suzuki T, Okamoto T, Hanyu K, Suwa K, Ashizuka S, Yanaga K - Int J Surg Case Rep (2013)

(A) Intra-operative photograph showed a defect in the diaphragm. (B) The defect was repaired with a ePTFE mesh. (C) Edematous and dilated bowel due to strangulation in congenital diaphragmatic hernia. (D) Laparotomy wound was closed with a Composix mesh (X: diaphragm; Y: liver).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921646&req=5

fig0015: (A) Intra-operative photograph showed a defect in the diaphragm. (B) The defect was repaired with a ePTFE mesh. (C) Edematous and dilated bowel due to strangulation in congenital diaphragmatic hernia. (D) Laparotomy wound was closed with a Composix mesh (X: diaphragm; Y: liver).
Mentions: The patient underwent emergency laparotomy during which a left posterolateral diaphragmatic hernia with incarceration of the small bowel, transverse colon, and most of the stomach was detected. No hernia sac was found and the left lung was hypoplastic. There was no intestinal malrotation. After reduction of misplaced organs in the mediastinum into the abdominal cavity, the left lung appeared well-formed but small. Organ color returned to normal once the mesentery was straightened. The fornix of the stomach was fixed to the diaphragm and the large diaphragmatic defect was repaired with combined simple closure and expanded polytetrafluoroethylene (ePTFE) mesh (Fig. 3a and b). Due to LOD for abdominal organs, the abdominal wound could not be closed directly, therefore Composix™ mesh (Bard mesh) was placed to bridge the fascial defect (Fig. 3c and d).

Bottom Line: Mesh extraction and fistulectomy were performed.A PubMed search for the case of ACS after repair of the adult BDH revealed only three cases, making this very rare condition.In dealing with adult BDH, possible post-repair ACS should be considered.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, The Jikei Universiy, Daisan Hospital, Japan. Electronic address: toshiaki1129jp@yahoo.co.jp.

No MeSH data available.


Related in: MedlinePlus