J Surg Case Rep
. 2024 Jul 20;2024(7):rjae464.
doi: 10.1093/jscr/rjae464. eCollection 2024 Jul. https://pubmed.ncbi.nlm.nih.gov/39036764/
Robotic-assisted repair of an anterior diaphragmatic hernia secondary to Xiphoidectomy
Amanda Skogsberg 1, Allison Porter 2
Affiliations expand
- PMID: 39036764
- PMCID: PMC11260181
- DOI: 10.1093/jscr/rjae464
Abstract
Anterior diaphragmatic hernias manifest when a diaphragmatic defect permits abdominal contents to enter the thoracic cavity. They may be congenital or acquired; when acquired, the typical etiology is traumatic injury. Without treatment, they risk incarceration or strangulation. A 55-year-old male with a history of xiphoidectomy during sternotomy for cardiac disease was incidentally found to have an anterior diaphragmatic hernia on a screening chest CT (computed tomography) scan. He developed gastric obstruction shortly after an outpatient surgical consultation. He was admitted to the hospital, and further workup revealed a right-sided type-4 diaphragmatic hernia with an incarcerated colon, antrum, and pylorus. Nasogastric decompression was performed, followed by robotic-assisted transabdominal preperitoneal (r-TAPP) repair with mesh. He recovered without complications. There are currently no reports in the literature of an anterior diaphragmatic hernia secondary to a xiphoidectomy. This case demonstrates the successful use of r-TAPP for this rare presentation of an anterior diaphragmatic hernia.
Keywords: anterior diaphragmatic hernia; minimally invasive surgery; surgical approaches; xiphoidectomy complication.
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.
