Abstract
Background and methods
Iatrogenic diaphragmatic hernia in childhood is rare, with only scanty case reports available in the literature. It is a potentially life-threatening condition resulting in intestinal obstruction and bowel strangulation. In this study, we retrospectively reviewed four patients with iatrogenic diaphragmatic hernia following right hepatic trisectionectomy with caudate lobectomy and liver transplantation in a tertiary referral centre. The patient characteristics, clinical presentation and risk factors were assessed.
Conclusions
Iatrogenic diaphragmatic hernia should be considered in differential diagnosis in paediatric patients presenting with intestinal obstruction or respiratory distress after hepatic resection or liver transplantation for early diagnosis and management.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kotecha A, Barbato A (2012) Congenital diaphragmatic hernia. Eur Respir J 39(4):820–829
Wright JC, Budd JL (2011) Epidemiology and outcome of congenital diaphragmatic hernia: a 9-year experience. Paediatr Perinat Epidemiol 25:144–149
Koplewitz BZ, Ramos C (2000) Traumatic diaphragmatic injuries in infants and children: imaging findings. Pediatr Radiol 30:471–479
Bettolli M, Jackson CC (2008) Iatrogenic anterior diaphragmatic hernia in childhood. Eur J Pediatr Surg 18:275–276
El-Gohary Y, Schuster I (2014) Iatrogenic diaphragmatic hernia in infants: potentially catastrophic when overlooked. J Ped Surg Case Reports 2(11):515–518
Cortes M, Tapuria N (2014) Diaphragmatic hernia after liver transplantation in children: case series and review of the literature. Liver Transpl 20(12):1429–1435
Kumar A, Maheshwari V (2009) Caecal perforation with faecal peritonitis—unusual presentation of Bochdalek hernia in an adult. World J Emerg Surg 4:16
Hanna WC, Ferri LE (2009) Acute traumatic diaphragmatic injury. Thorac Surg Clin 19(4):485–489
Mccabe AL, Orr JD (2005) Right-sided diaphragmatic hernia in infants after liver transplantation. J Pediatr Surg 40:1181–1184
Shigeta T, Sakamoto S (2012) Diaphragmatic hernia in infants following living donor liver transplantation: report of three cases and a review of the literature. Pediatr Transplantation 16:496–500
Soufi M, Meillat H (2013) Right diaphragmatic iatrogenic hernia after laparoscopic fenestration of a liver cyst: report of a case and review of the literature. World J Emerg Surg 8(1):2
Smyrniotis V, Andreani P (1998) Diaphragmatic nerve palsy in young children following liver transplantation. Successful treatment by plication of the diaphragm. Transpl Int 11(4):281–283
Lam HD, Mejia J (2013) Right diaphragmatic hernia after liver transplant in paediatrics: a case report and review of the literature. Pediatr Transplant 17:77–80
Sandler AD, Azarow KS (1997) The impact of a previous Kasai procedure on liver transplantation for biliary atresia. J Pediatr Surg 32:416–419
Englert C, Helmke K (2006) Diaphragmatic hernia resulting in enterothorax following pediatric liver transplantation: a rare complication. Transplantation 82:1181–1184
Okajima H, Hayashida S (2007) Bowel obstruction due to diaphragmatic hernia in an elder child after pediatric liver transplantation. Pediatr Transplant 11:324–326
Moon SB, Jung SM (2012) Posteromedial diaphragmatic hernia following pediatric liver transplantation. Pediatr Transplant 16:106–109
Eren S, Ciris F (2005) Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol 54(3):448–459
Conflict of interest
No any relationships/conditions/circumstances that present a potential conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yeung, F., Chung, P.H.Y., Wong, K.K.Y. et al. Iatrogenic diaphragmatic hernia in paediatric patients. Pediatr Surg Int 31, 589–592 (2015). https://doi.org/10.1007/s00383-015-3702-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-015-3702-3