Cureus

. 2022 Jul 4;14(7):e26544.

 doi: 10.7759/cureus.26544. eCollection 2022 Jul. https://pubmed.ncbi.nlm.nih.gov/35936153/

Diaphragmatic Hernia Presenting as Acute Gastric Outlet Obstruction: A Rare Complication of Left Lower Lobectomy

Anum Sultan ¹, Asma Usman ¹, Sana Akhtar ¹, Anis Rehman ¹, Kashif Siddiqui ¹

Affiliations expand

• PMID: 35936153
• PMCID: PMC9346952
• DOI: 10.7759/cureus.26544

Free PMC article

Abstract

Diaphragmatic hernia is defined as the prolapse of abdominal contents into the thoracic cavity through a defect in the diaphragm that is either congenital or acquired. Acquired hernias are common in adults and frequently occur as the result of trauma, either iatrogenic or non-iatrogenic. Iatrogenic diaphragmatic hernia is a rare complication of patient-related treatment maneuvers/procedures. The rate of late presentations of an iatrogenic diaphragmatic hernia is disparate, ranging from 5 to 62%. Iatrogenic diaphragmatic hernia after pulmonary resection is extremely rare with only two case reports published worldwide so far. In this report, we discuss the case of a young male presenting several years after undergoing left lower lobectomy with signs and symptoms of acute gastric outlet obstruction.

Keywords: acute gastric oulet obstruction; computed tomography; iatrogenic diaphragmatic hernia; lobectomy; thoracotomy.

Copyright © 2022, Sultan et al.