A case of diaphragmatic hernia after laparoscopic hepatic cyst fenestration Iku HIGASHIMOTO 1 , Takanobu NAKAMURA 2 , On SUZUKI 1 , Masahiro USUDA 1 , Jin TESHIMA 1 , Go MIYATA 1 1Department of Gastroenterological Surgery, Iwate Prefectural Central Hospital 2Department of Surgery, Sendai City Hospital Keyword: 横隔膜ヘルニア , 肝囊胞天蓋切除術 , 腹腔鏡下ヘルニア修復術 pp.522-526
Published Date 2019/11/15
DOI https://doi.org/10.11477/mf.4426200755
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 The patient was a 62-year-old woman who underwent laparoscopic hepatic cyst fenestration for a gigantic hepatic cyst of the right lobe of the liver. One year after surgery, abdominal pain appeared and by abdominal CT scan, she was diagnosed with having a diaphragmatic hernia, which incarcerated the transverse colon and the omentum into the thoracic cavity through the right diaphragm. The intestinal tract and the omentum were pulled back into the abdominal cavity by laparoscope. As the hernia orifice showed the presence of the right diaphragm, laparoscopic diaphragmatic hernia repair was performed with direct closure. The postoperative course was uneventful.

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