Research: Surgical technique of congenital diaphragmatic hernia following sleeve gastrectomy; a case report study

Int J Surg Case Rep

. 2022 Sep 17;99:107671.

 doi: 10.1016/j.ijscr.2022.107671. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36150329/

Surgical technique of congenital diaphragmatic hernia following sleeve gastrectomy; a case report study

Hamidreza Goudarzi 1Mahsa Hemmatizadeh 1Taha Anbara 2

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Free article

Abstract

Introduction and importance: Congenital diaphragmatic hernia (CDH) is caused by a defect of diaphragm. The incidence of CDH is 1/3600 in new births in the US, causing pulmonary hypoplasia and pulmonary hypertension. In rare cases, the late presentation in adulthood is reported.

Case presentation: We report a 31-year-old female with respiratory distress and gastrointestinal disease, diagnosed on X-ray chest and abdomen CT scan as CDH case, which was in left-sided diaphragm.

Clinical discussion: Left posterolateral thoracotomy was performed for this patient. The patient with late diaphragmatic hernias presentation had a variety of symptoms, but diagnosis was very difficult.

Conclusion: In this super rare case, the patient had a mix of bariatric surgery complications such as excessive weight loss. Additional investigation and research are necessary to better detect this type of disease.

Keywords: Bariatric surgery; Congenital diaphragmatic hernia; Diaphragmatic malformation; Thoracotomy surgery.

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