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J Surg Case Rep 2020 Jun 19;2020(6):rjaa178. Epub 2020 Jun 19.

Department of Surgery, BPKIHS, Dharan, Nepal.

Diaphragmatic hernia can be congenital or acquired. Usual clinical presentation may range from asymptomatic cases to serious respiratory/gastrointestinal symptoms and occasionally atypical presentation as lumbar hernia also. The diagnosis of diaphragmatic hernia is based on clinical investigation and is confirmed by plain X-ray film and computed tomography scan. Read More

Cureus 2020 Apr 16;12(4):e7689. Epub 2020 Apr 16.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

Transdiaphragmatic hernia via the central tendon in the pericardium is a rare entity. Most often, these hernias are acquired and related to the iatrogenic creation of a transdiaphragmatic-pericardial defect. We would like to present a case of a 62-year-old male who presented with acute chest pain and was diagnosed to have a transdiaphragmatic-pericardial hernia on computed tomography. Read More

ANZ J Surg 2020 May 1. Epub 2020 May 1.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Parahiatal hernia is a less common form of diaphragmatic hernia, with the defect lateral to the crus and oesophageal hiatus, and the unfamiliarity of this disease would cause confusion to general surgeons. In the present study, the literature on parahiatal hernia were reviewed, the clinical profile of this disease, as well as our own experience is presented and analysed.

Methods: In the present study, a thorough identification of all published reports on parahiatal hernias was made, together with our own cases, the available data were summarized, analysed and discussed. Read More

Int J Artif Organs 2020 Mar 20:391398820911379. Epub 2020 Mar 20.

Department of Neonatology, Division of Pediatrics, Pontificia Universidad Católica de Chile, Santiago, Chile.

Objectives: To describe risk factors for acquired infection during neonatal extracorporeal membrane oxygenation and to examine the predictive value of inflammatory markers in the diagnosis of infection.

Methods: A retrospective study was conducted with data for patients under 30 days supported with extracorporeal membrane oxygenation from 2003 to April 2016, in a neonatal intensive care unit.

Results: Our study included 160 neonatal patients, the average age of connection was 8. Read More

Cureus 2020 Jan 16;12(1):e6683. Epub 2020 Jan 16.

Internal Medicine, Methodist Health System, Dallas, USA.

Diaphragmatic hernias (DH) may be congenital or acquired in origin. Those causing obstructive jaundice in the elderly are extremely rare but can occur. These patients may present with painless jaundice, early satiety, and weight loss due to biliary tract obstruction and stomach compression by the hernia. Read More

Case Rep Radiol 2020 22;2020:1931879. Epub 2020 Jan 22.

West Virginia University Department of Radiology, Morgantown WV 26505, USA.

A Bochdalek hernia is a posterolateral diaphragmatic defect that is either congenital or acquired. The contents of the hernia range from fat to intra-abdominal organs. They are primarily pathologies of neonates and most commonly occur unilaterally. Read More

Can Vet J 2020 Feb;61(2):153-156

Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3 (Hoe); Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4 (Sakals).

A 4-year-old castrated male dog was presented because of acute, severe neurologic signs 4 months after a 10-meter fall. Liver enzyme activity was high. Imaging and surgery revealed diaphragmatic hernia, liver entrapment, and multiple acquired portosystemic shunts. Read More

Expert Rev Cardiovasc Ther 2019 Dec;17(12):883-915

Center for Medical Genetics and Department of Cardiology, Ghent University Hospital, VASCERN HTAD European Reference Centre, Ghent, Belgium.

: The revised Ghent nosology presents the classical features of Marfan syndrome. However, behind its familiar face, Marfan syndrome hides less well-known features.: The German Marfan Organization listed unusual symptoms and clinical experts reviewed the literature on clinical features of Marfan syndrome not listed in the Ghent nosology. Read More

Clin Pract Cases Emerg Med 2019 Nov 21;3(4):428-429. Epub 2019 Oct 21.

Kern Medical Center, Department of Emergency Medicine, Bakersfield, California.

Diaphragmatic hernias are an uncommon occurrence in the pediatric population; however, they can cause significant morbidity and mortality if the diagnosis is missed or delayed. This case discusses the radiographic and clinical exam findings of a one-year-old patient with this pathology. Read More

Surg Laparosc Endosc Percutan Tech 2019 Dec;29(6):529-533

Virginia Heartburn and Hernia Institute, Lorton, VA.

This study examined outcomes, surgical complications, and revisions in patients treated with laparoscopic Nissen fundoplication for hiatal hernia and substantial gastroesophageal reflux disease. In total, 85 consecutive patients who underwent hernia repair with MIROMESH Biologic Matrix, a novel hepatic-derived surgical mesh served as subjects. Subjects were contacted by phone, consented, and participated in an Institutional Review Board-approved structured phone interview. Read More

Surg J (N Y) 2019 Oct 15;5(4):e150-e153. Epub 2019 Oct 15.

Department of Surgery, Mater Dei Hospital, Triq Dun Karm, Msida MSD, Malta.

 The Littre hernia is a rare complication of Meckel's diverticulum. Meckel's diverticulum is vestigial remnant of the omphalomesenteric duct occurring in approximately 2% of the general population with an estimated 4 to 16% risk of complications. Usual sites of the Littre hernia include inguinal (50%), umbilical (20%), and femoral (20%). Read More

Trop Doct 2019 Oct 18;49(4):311-313. Epub 2019 Jun 18.

Professor and Head, Department of Paediatrics, Smt Kashibai Navale Medical College & General Hospital, Pune, India.

Iatrogenic diaphragmatic hernia is rare in children and we report a preterm low birth weight neonate with a presumably acquired diaphragmatic hernia due to trauma caused by treatment following pneumothorax. Read More

J Thorac Imaging 2019 Jul;34(4):236-247

Departments of Cardiothoracic Surgery.

The diaphragm is an inconspicuous fibromuscular septum, and disorders may result in respiratory impairment and morbidity and mortality when untreated. Radiologists need to accurately diagnose diaphragmatic disorders, understand the surgical approaches to diaphragmatic incisions/repairs, and recognize postoperative changes and complications. Diaphragmatic defects violate the boundary between the chest and abdomen, with the risk of herniation and strangulation of abdominal contents. Read More

Intern Med 2019 07 28;58(13):1971-1972. Epub 2019 Mar 28.

Department of Cardiology, Matsudo City General Hospital, Japan.

Adv Respir Med 2019 4;87(1):54-62. Epub 2019 Mar 4.

Clinical Department of Internal Medicine, Czerniakowski Hospital in Warsaw, Stepinska 19/25, 00-739 Warsaw, Poland.

Dyspnoea is most often caused by disorders of the respiratory and/or cardiovascular systems. Much less often it is brought about by the displacement of abdominal organs into the thoracic cage. Hiatal hernias may give rise to diagnostic difficulties, as both clinical and radiological symptoms suggest different disorders. Read More

Pediatr Emerg Care 2019 Mar 1. Epub 2019 Mar 1.

Department of Pediatric Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

We present a rare case of a 10-year-old boy with a right diaphragmatic eventration (DE), an uncommon pathology in children. The case highlights the importance of making a correct differential diagnosis between an acquired diaphragmatic hernia and a DE, two uncommon diaphragmatic pathologies. Differential diagnosis of these two entities can usually be made based on radiological findings, by identifying the continuity or the lack of continuity of the diaphragm, but sometimes, especially when on the right side, like in our case, they can be very difficult to differentiate by imaging. Read More

Cardiol Young 2019 Feb;29(2):238-240

Department of Pediatric Cardiology, Johns Hopkins All Children's Hospital, St Petersburg, FL, USA.

Acquired diaphragmatic hernia is a rare complication of pediatric intervention or surgery. In this study, we report an infant with iatrogenic diaphragmatic hernia following neonatal complex congenital cardiac surgery, and then we review the associated literature. Read More

Insights Imaging 2018 Dec 27;9(6):989-1005. Epub 2018 Nov 27.

Imaging Science, University of Rochester Medical Center, 601, Elmwood Avenue, Rochester, NY, 14642, USA.

Thoracic hernias are characterised by either protrusion of the thoracic contents outside their normal anatomical confines or extension of the abdominal contents within the thorax. Thoracic hernias can be either congenital or acquired in aetiology. They can occur at the level of the thoracic inlet, chest wall or diaphragm. Read More

Surg Case Rep 2018 Nov 19;4(1):135. Epub 2018 Nov 19.

Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: Diaphragmatic hernias (DH) are generally classified as either congenital or acquired. Acquired DH are generally of traumatic cause, being a rare complication after hepatectomy. Although repair of a DH can be performed via laparotomy, laparoscopy, or thoracoscopy, the use of laparoscopy is rare after hepatectomy owing to the formation of scar tissue. Read More

Int J Surg Case Rep 2018 25;53:154-156. Epub 2018 Oct 25.

College of Medicine, James Cook University, Townsville, Queensland, Australia; Surgical Division, Mackay Base Hospital, Mackay, Queensland, Australia.

Introduction: Acquired diaphragmatic hernias are most commonly associated with traumatic thoracic injury and rarely heal spontaneously. Conditions that promote peritoneal seeding, such as endometriosis, are associated with spontaneous acquired diaphragmatic hernia formation. Non-traumatic acquired diaphragmatic herniation has previously been described in the context of catamenial pneumothorax, however post-menopausal endometriotic diaphragmatic herniation has not been previously reported. Read More

Urology 2019 Jan 9;123:e7-e8. Epub 2018 Oct 9.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH.

Postoperative incisional hernia is a relatively common complication following abdominal surgery. Herniation of the kidney is a less common entity and typically occurs as a congenital or acquired diaphragmatic defect, and rare case reports have demonstrated partial flank or lumbar herniation of the kidney. Herein we present a unique case of a postoperative incisional hernia containing the entire right kidney. Read More

Pediatr Transplant 2018 12 2;22(8):e13296. Epub 2018 Oct 2.

Division of Hepatobiliary and Transplant Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Background: ADH is a rare and potentially fatal complication following LT. In this study, a systematic review was completed to identify risk factors which may contribute to ADH.

Methods: Transplant databases at three LT programs were reviewed. Read More

J Surg Case Rep 2018 Sep 11;2018(9):rjy238. Epub 2018 Sep 11.

Chair of Surgery, Cardiovascular Institute, UPMC Pinnacle, Harrisburg, PA, USA.

Diaphragmatic hernias are either congenital or acquired defects in the diaphragm that permit passing of abdominal contents into the chest cavity. Individuals with large diaphragmatic hernias associated with a gastric perforation have rarely been reported in literature and can have serious mortality rates. Herein, we present a case of gastric perforation in the setting of a significant sized diaphragmatic hernia. Read More

J Neurosurg Spine 2018 Dec;29(6):674-679

6Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

OBJECTIVESurgery for severe congenital defects, such as congenital diaphragmatic hernia, congenital heart defects, and tracheoesophageal disorders, are life-saving treatments for many infants. However, the incidence of scoliosis following thoracoabdominal surgery has been reported to range from 8% to 50%. Little is known about severe scoliosis that occurs after chest wall procedures in infants. Read More

Am Surg 2018 Jul;84(7):1195-1196

Postoperative iatrogenic diaphragmatic hernias have been reported sparingly after several thoracic and abdominal surgeries. Although rare, a delay in diagnosis can lead to life-threatening cases of strangulation or perforation, as well as cardiovascular and respiratory insufficiency. This is a case of a 78-year-old female who developed acute obstructive symptoms secondary to herniation of the distal stomach through a defect in the central tendon of the diaphragm. Read More

Medicine (Baltimore) 2018 Apr;97(15):e0346

Key Laboratory of Organ Transplantation of Tianjin, Department of Transplant Surgery, Tianjin First Center Hospital, Tianjin, China.

Rationale: Diaphragmatic hernia (DH) in pediatrics following living donor liver transplantation (LDLT) has been seldom reported in the past.

Patient Concerns: We report successful diagnosis and treatment of three pediatric cases with DH secondary to LDLT, discuss the possible etiology, and review the relevant literature.

Diagnoses: The primary disease was biliary atresia and DH was diagnosed by computed tomography scan or x-ray of chest. Read More

An Acad Bras Cienc 2018 Jan-Mar;90(1):169-178

Laboratório de Histologia e Embriologia Animal/LHEA, Faculdade de Medicina Veterinária, Universidade Federal Rural da Amazônia/UFRA, Avenida Presidente Tancredo Neves, 2501, Montese, 66077-530 Belém, PA, Brazil.

The wall of the diaphragm can be affected by congenital or acquired alterations which allow the passage of viscera between the abdominal and chest cavities, allowing the formation of a diaphragmatic hernia. We characterized morphology and performed biometrics of the diaphragm in the common squirrel monkey Saimiri sciureus. After fixation, muscle fragments were collected and processed for optical microscopy. Read More

Pediatr Infect Dis J 2018 05;37(5):469-474

Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.

Background: In addition to substantial medical and surgical intervention, neonates with congenital diaphragmatic hernia often have concurrent concerns for acquired infection. However, few studies focus on infection and corresponding antimicrobial utilization in this population.

Methods: The Children's Hospital Neonatal Database was queried for congenital diaphragmatic hernia infants hospitalized from January 2010 to February 2016. Read More

BMJ Case Rep 2017 Oct 20;2017. Epub 2017 Oct 20.

Digestive Diseases Specialty, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

A Littre's hernia is an unusual phenomenon where a Meckel's diverticulum protrudes through a potential abdominal opening. We wish to present a unique case of a 79-year-old man with respiratory distress following a fall from standing, initially managed as a haemothorax. After a chest drain was placed, bowel contents were drained from the pleural cavity and he was taken to theatre. Read More

J Surg Case Rep 2017 Jul 14;2017(7):rjx135. Epub 2017 Jul 14.

Department of Morphology, Surgery and Experimental Medicine, Section of Emergency Surgery, University of Ferrara, Ferrara 44124, Italy.

Acquired diaphragmatic hernia, non-related to trauma, is a very rare condition. It can constitute a therapeutic problem and the surgical solution is not always immediately clear. We report the case of a 73-year-old woman with a history of spleno-distal pancreatectomy for a neuroendocrine tumour performed in 2009, who came back to Emergency Room 2 years later, complaining of abdominal pain. Read More

Semin Pediatr Surg 2017 Apr 9;26(2):61-66. Epub 2017 Mar 9.

Department of Surgery, Phoenix Children׳s Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016. Electronic address:

Hiatal and paraesophageal hernia (HH/PEH) can be congenital, resulting from embryologic abnormalities/genetic predisposition, or acquired, most commonly after gastroesophageal surgery such as fundoplication. Minimizing circumferential esophageal dissection at the time of Nissen fundoplication has been shown to decrease the risk of acquired HH/PEH from 36.5% to 12. Read More

BJR Case Rep 2017 30;3(3):20160133. Epub 2017 Mar 30.

Department of Radiology, Plymouth Hospitals NHS Trust, Plymouth, UK.

Hepatic herniation is a rare clinical condition. Most commonly it is associated with congenital diaphragmatic herniation or acquired through blunt diaphragmatic trauma. We present a case of a right hepatic lobe incisional hernia in a 75-year-old female who underwent partial right-sided nephrectomy 52 years previously. Read More

Asian Cardiovasc Thorac Ann 2017 Mar 1;25(3):233-236. Epub 2017 Jan 1.

Department of Thoracic and Cardiovascular Surgery, La Pitié Salpêtrière Hospital, Pierre et Marie Curie University, Paris, France.

Transdiaphragmatic peritoneopericardial hernia is a rare complication after peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, or subxiphoid epicardial pacemaker insertion. We describe two different clinical presentations of transdiaphragmatic peritoneopericardial hernia in patients who had undergone recent heart transplantation. One was an exceptional case of cardiac tamponade caused by small bowel strangulation through a diaphragmatic defect. Read More

Ann Ital Chir 2016 Nov 3;87. Epub 2016 Nov 3.

Iatrogenic diaphragmatic hernia following laparoscopic left colectomy for splenic flexure cancer. An unusual complication Diaphragmatic hernias are a migration of abdominal structures into the thorax via a diaphragmatic defect; they may be classified as congenital or acquired and acquired hernias can be hiatal, traumatic or iatrogenic, generally complications of thoracic or abdominal surgery. We report a case of iatrogenic diaphragmatic hernia after a laparoscopic left colectomy for splenic flexure tumor; to our knowledge, in literature this case is the first reported. Read More

Can Vet J 2017 Feb;58(2):145-148

Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado 80523, USA.

A foal born with assisted delivery developed rib fractures and a diaphragmatic hernia. The hernia was repaired using surgical mesh. The filly was healthy 42 months later. Read More

Ultrasound Obstet Gynecol 2018 02 27;51(2):214-218. Epub 2017 Dec 27.

Obstetrics and Gynecology Unit, Department of Medicine and Surgery, Unit of Surgical Sciences, Maggiore Hospital, University of Parma, Parma, Italy.

Objectives: To introduce a new sonographic marker of intrathoracic liver herniation in fetuses with left-sided congenital diaphragmatic hernia (CDH).

Methods: In a consecutive series of fetuses with isolated CDH, an ultrasound volume of the fetal abdomen was acquired. On this volume, offline calculation of the angle formed by the midline of the abdomen (joining the center of the vertebral body to the abdominal insertion of the umbilical cord) and a second line joining the center of the vertebral body to the intra-abdominal convexity of the umbilical vein was carried out to give the umbilical vein deviation angle (UVDA). Read More

J Forensic Sci 2016 09 22;61(5):1261-5. Epub 2016 Jun 22.

Forensic Science SA, 21 Divett Place, Adelaide, SA 5000, Australia.

Diaphragmatic defects are a relatively common and benign finding in adults which may be congenital or secondarily acquired. The case files at Forensic Sciences South Australia were reviewed over a 10-year period from July 2005 to June 2015 for all adult (>17 years) cases in which diaphragmatic hernias were identified at postmortem examination that had either caused or contributed to death. Five cases were found: age range 49-90 years (average 67. Read More

J Clin Diagn Res 2016 Apr 1;10(4):PD04-5. Epub 2016 Apr 1.

Professor, Department of Cardiology, KMC , Manipal, India .

Diaphragmatic Hernia (DH) is the herniation of abdominal contents into the thorax through a rent in the diaphragm. Acquired DH most commonly occurs following a blunt or penetrating trauma to the abdomen with former being common than the later. Very rarely DH can be spontaneous and be asymptomatic until it's very extensive. Read More

Magn Reson Med 2017 03 12;77(3):1284-1295. Epub 2016 Mar 12.

Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Purpose: To implement pulmonary three-dimensional (3D) radial ultrashort echo-time (UTE) MRI in non-sedated, free-breathing neonates and adults with retrospective motion tracking of respiratory and intermittent bulk motion, to obtain diagnostic-quality, respiratory-gated images.

Methods: Pulmonary 3D radial UTE MRI was performed at 1.5 tesla (T) during free breathing in neonates and adult volunteers for validation. Read More

Crit Care Med 2016 06;44(6):1182-90

1Intensive Care Unit, Department of Pediatric Surgery Erasmus Medical Centre-Sophia Children's Hospital, Rotterdam, The Netherlands. 2Department of Neonatology Radboud University Medical Center, Nijmegen, The Netherlands.

Objectives: To assess neuropsychologic outcome in 17- and 18-year-old neonatal extracorporeal membrane oxygenation survivors.

Design: A prospective longitudinal follow-up study.

Setting: Follow-up program at the Erasmus MC-Sophia Children's Hospital in Rotterdam, The Netherlands. Read More

Biomaterials 2016 Jan 14;77:320-35. Epub 2015 Nov 14.

International Research, Clinical and Education Center of Regenerative Medicine, Kuban State Medical University, Krasnodar, Russian Federation; Advanced Center for Translational Regenerative Medicine (ACTREM), Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Ear, Nose and Throat, Karolinska Institutet, Stockholm, Sweden. Electronic address:

The currently available surgical options to repair the diaphragm are associated with significant risks of defect recurrence, lack of growth potential and restored functionality. A tissue engineered diaphragm has the potential to improve surgical outcomes for patients with congenital or acquired disorders. Here we show that decellularized diaphragmatic tissue reseeded with bone marrow mesenchymal stromal cells (BM-MSCs) facilitates in situ regeneration of functional tissue. Read More

J Robot Surg 2015 Dec 26;9(4):357-60. Epub 2015 Sep 26.

Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA.

Bochdalek diaphragmatic hernia is a rare condition and is typically diagnosed prior to adulthood. Furthermore, right-sided defects are also uncommon due to the location of the liver, but can contain colon, omentum, small bowel, or rarely the kidney. Minimally invasive laparoscopic and thoracoscopic diaphragmatic hernia repairs are associated with improved outcomes when compared to open approaches-recently, robotic-assisted repairs have been performed in children with no morbidity and minimal complications. Read More

Dev Growth Differ 2016 Jan 29;58(1):143-53. Epub 2015 Oct 29.

Evolutionary Morphology Laboratory, RIKEN, 2-2-3 Minatojima-minami, Chuo-ku, Kobe, 650-0047, Japan.

The neck acquired flexibility through modifications of the head-trunk interface in vertebrate evolution. Although developmental programs for the neck musculoskeletal system have attracted the attention of evolutionary developmental biologists, how the heart, shoulder and surrounding tissues are modified during development has remained unclear. Here we show, through observation of the lateral plate mesoderm at cranial somite levels in chicken-quail chimeras, that the deep part of the lateral body wall is moved concomitant with the caudal transposition of the heart, resulting in the infolding of the expanded cervical lateral body wall into the thorax. Read More

Wideochir Inne Tech Maloinwazyjne 2015 Jul 25;10(2):244-56. Epub 2015 Feb 25.

Department of Obstetrics, Medical University of Gdansk, Gdansk, Poland.

Introduction: An individually designed strategy of comprehensive alternative hybrid and staged interventional treatment (AHASIT) can be a reasonable alternative to conventional treatment of congenital heart defects, reduce the risk of cardiac surgery or interventions performed separately, and give an additional chance for critically ill children.

Aim: To present our experience and the results of AHASIT of severely ill or borderline children referred for surgery with the diagnosis of congenital heart defects.

Material And Methods: A group of 22 patients with complex cardiac and non-cardiac pathologies was retrospectively selected and analyzed. Read More

Pediatr Transplant 2015 Sep 23;19(6):E149-51. Epub 2015 Jun 23.

Department of Pediatric Surgery, Ege University Faculty of Medicine, Izmir, Turkey.

ADH following OLT is a rare entity. Herein, we report a case of Alagille syndrome who developed ADH secondary to OLT, and possible etiological causes are discussed in light of the literature. Read More

JFMS Open Rep 2015 Jan-Jun;1(1):2055116915585020. Epub 2015 Jun 1.

Department of Clinical Science and Services, The Royal Veterinary College, North Mymms, UK.

Case Summary: A cat with a chronic diaphragmatic rupture presented with neurological signs, including twitching and focal seizures. Blood ammonia level was markedly elevated and therefore neurological signs were thought to be related to hepatic encephalopathy. Exploratory laparotomy revealed that the left lateral and medial liver lobes were herniated into the thorax and multiple acquired portosystemic shunts (MAPSS) were present. Read More

Clin Ter 2015;166(2):62-4

Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.

A diaphragmatic hernia is a protrusion of abdominal structures within the thoracic cavity through a defect in the diaphragm, which can be either congenital or acquired. Diaphragmatic rupture, as a sequela following abdominal surgery, is rarely documented. Approximately 80% of the reported cases, the injury occurred on the left side. Read More

Ann R Coll Surg Engl 2015 Mar;97(2):e27-9

University Hospital of South Manchester NHS Foundation Trust, UK.

Iatrogenic injury accounts for the second most common cause of acquired diaphragmatic hernias after penetrating trauma. An increased incidence of these hernias has been observed with the widespread use of laparoscopic surgery. We present the case of a 65-year-old woman who initially underwent sigmoid resection for an adenocarcinoma and a subsequent liver resection for metastasis. Read More