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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

Intra-operative photograph showing en block resection of the fistula and a portion of the stomach, with simple closure of both sides of the fistula (X: stomach; Y: fistula).
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fig0025: Intra-operative photograph showing en block resection of the fistula and a portion of the stomach, with simple closure of both sides of the fistula (X: stomach; Y: fistula).

Mentions: As gastropleural fistula and skin necrosis seemed to be responsible for strangulation and ACS, the patient underwent a second operation to close the abdominal wound and fistulectomy at two months after the first operation (Fig. 5). The skin defect of the abdominal wall was autografted with a tensor fascia lata myocutaneous flap by plastic surgeons. After the second surgery, a tracheostomy was also performed for respiratory failure related to pleural empyema.


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)

Intra-operative photograph showing en block resection of the fistula and a portion of the stomach, with simple closure of both sides of the fistula (X: stomach; Y: fistula).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig0025: Intra-operative photograph showing en block resection of the fistula and a portion of the stomach, with simple closure of both sides of the fistula (X: stomach; Y: fistula).
Mentions: As gastropleural fistula and skin necrosis seemed to be responsible for strangulation and ACS, the patient underwent a second operation to close the abdominal wound and fistulectomy at two months after the first operation (Fig. 5). The skin defect of the abdominal wall was autografted with a tensor fascia lata myocutaneous flap by plastic surgeons. After the second surgery, a tracheostomy was also performed for respiratory failure related to pleural empyema.

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