A case of diaphragmatic hernia incarceration after a heart transplant operation |
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| Authors: | Masaru Sasaki Tsuyoshi Takahashi Soichiro Funaki Koji Tanaka Yasuhiro Miyazaki Naoko Ose Tomoki Makino Yukinori Kurokawa Makoto Yamasaki Kiyokazu Nakajima Yasushi Shintani Masaki Mori Yuichiro Doki |
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| Affiliation: | 1. Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan;2. Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Japan;3. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan |
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| Abstract: | We report a case of a diaphragmatic hernia after a heart transplant operation. A 43-year-old woman, who underwent orthotropic heart transplantation for hypertrophic cadiomyopathy two year earlier, presented with vomiting and epigastric pain. A computed tomography scan showed that the stomach and transverse colon were dislocated in the left thoracic cavity. We diagnosed left diaphragmatic hernia incarceration and performed laparoscopic repair of the diaphragmatic hernia. A 12 × 8 cm diaphragmatic defect was found intraoperatively on the ventrolateral aspect of the left diaphragm, and the stomach with volvulus had herniated into the thorax through the defect. The hernia was considered to be iatrogenic. The diaphragmatic defect was large, and the diaphragm was thinning. We closed the defect by mesh repair. Laparoscopic mesh repair of the diaphragmatic hernia could be performed safely and with minimal invasiveness. |
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| Keywords: | diaphragmatic hernia heart transplantation laparoscopy |
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