Mínguez Ruiz G, García Florez LJ, Arias Pacheco RD, García Bear I, Ramos Pérez V, Pire Abaitua G. Post-nephrectomy diaphragmatic hernia. Increase suspicion and decrease morbi-mortality: two cases report.
J Surg Case Rep 2018;
2018:rjy224. [PMID:
30151114 PMCID:
PMC6101488 DOI:
10.1093/jscr/rjy224]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Accepted: 07/26/2018] [Indexed: 11/23/2022] Open
Abstract
Post-nephrectomy diaphragmatic hernia is an extremely rare condition. The symptoms may be acute or latent and will depend on the herniated organ, which makes it difficult to suspect. Therefore, it is necessary to know about this type of iatrogenic hernia to avoid a delay in diagnosis. A radiological confirmation with computed tomography and early surgical treatment greatly decreased the morbidity and mortality. We report two cases: a 76-year-old male, who underwent a right nephrectomy 18 days prior due to a renal carcinoma; and a 59-year-old woman, who underwent the procedure 4 years prior due to left renal atrophy.
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