Skip to main content
Log in

Delayed traumatic diaphragmatic hernia after open splenectomy: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

A 50-year-old man experienced sudden chest pain radiating into his left shoulder about 16 months after undergoing an open splenectomy for malignant splenic lymphoma. As the patient did not respond to conservative therapy, he was transferred to our hospital. Computed tomography of the chest showed that the upper stomach had herniated into the thoracic cavity. Emergency surgery revealed that the hernial sac was partially torn and open to the thoracic cavity. We sutured the hernial orifice closed and performed Dor fundoplication. Although sporadic reports on this type of hernia following laparoscopic surgery have been reported, delayed diaphragmatic hernia following open splenectomy is rare.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. McArthur KE. Hernias and volvulus of the gastrointestinal tract. In: Feldman M, Scharschmidt BF, Sleisenger MH, editors. Gastrointestinal and liver disease. 6th ed. Philadelphia: W. B. Saunders; 1998. p. 317–331.

    Google Scholar 

  2. Reina A, Vidana E, Soriano P, Orte A, Ferrer M, Herrera E, et al. Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 2001;32:153–156.

    Article  PubMed  CAS  Google Scholar 

  3. Sacco R, Quitadamo S, Rotolo N, Di Nuzzo D, Mucilli F. Traumatic diaphragmatic repture: personal experience. Acta Biomed Ateneo Parmense 2003;74Suppl 2:71–73.

    Google Scholar 

  4. van Loenhout RM, Schiphorst TJ, Wittens CH, Pinckaers JA. Traumatic intrapericardial diaphragmatic hernia. J Trauma 1986;26:271–275.

    PubMed  Google Scholar 

  5. Feliciano DV, Cruse PA, Mattox KL, Bitondo CG, Burch JM, Noon GP, et al. Delayed diagnosis on injury to the diaphragm after penetrating wounds. J Trauma 1988;28:1135–1144.

    Article  PubMed  CAS  Google Scholar 

  6. Armstrong PA, Miller SF, Brown GR. Diaphragmatic hernia seen as a late complication of laparoscopic cholecystectomy. Surg Endosc 1999;13:817–818.

    Article  PubMed  CAS  Google Scholar 

  7. Gomez-Arnau J, Novoa N, Isidro MG, Plaza A, Galindo F, Ezquerro C. Ruptured hemidiaphragm after bilateral lung transplantation. Eur J Anaesthesiol 1999;16:259–262.

    Article  PubMed  CAS  Google Scholar 

  8. Targarona EM, Espert JJ, Bombuy E, Vidal O, Cerdan G, Artigas V, et al. Complication of laparoscopic splenectomy. Arch Surg 2000;135:1137–1140.

    Article  PubMed  CAS  Google Scholar 

  9. Shah S, Matthews BD, Sing RF, Heniford BT. Laparoscopic repair of a chronic diaphragmatic hernia. Surg Laparosc Endosc Percutan Tech 2000;10:182–186.

    Article  PubMed  CAS  Google Scholar 

  10. Reddy VS, Phan HH, O’neill JA, Neblett WW, Pietsch JB, Morgan WM, et al. Laparoscopic versus open splenectomy in the pediatric population: a contemporary single-center experience. Am Surg 2001;67:859–864.

    PubMed  CAS  Google Scholar 

  11. Sugita M, Nagahori K, Kudo T, Yamanaka K, Obi Y, Shizawa R, et al. Diaphragmatic hernia resulting from injury during microwave-assisted laparoscopic hepatectomy. Surg Endosc 2003;17:1849–1850.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsuboi, K., Omura, N., Kashiwagi, H. et al. Delayed traumatic diaphragmatic hernia after open splenectomy: Report of a case. Surg Today 38, 352–354 (2008). https://doi.org/10.1007/s00595-007-3627-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-007-3627-0

Key words

Navigation