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Herniation of transverse colon into mediastinum after pedicled omental grafting for mediastinitis: report of a case

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Abstract

We describe a rare complication and the treating experience of it after pedicled omental grafting for mediastinitis. The patient was diagnosed as an acute mediastinitis soon after the total arch replacement was performed. A two-staged strategy to treat postoperative mediastinitis was scheduled, i.e., the setting up of a vacuum-assisted closure system until the improvement of inflammation followed by wound closure with pedicled omental grafting. The treatment for acute mediastinitis was successful and the patient followed a favorable postoperative course. During the follow-up, chest X-ray film suggested the gradual enlargement of mediastinum and CT showed the herniation of transverse colon into mediastinum. Surgical correction for the hernia was scheduled and performed successfully by the laparoscopic procedure to prevent a possible cardiac and pulmonary dysfunction.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Tomishiro Central Hospital, 25 Ueta, Tomigusuku-city, Okinawa, 901-0243, Japan

    Makoto Hashimoto & Akihiko Yamauchi

  2. Department of Surgery, Tomishiro Central Hospital, Tomigusuku-city, Okinawa, Japan

    Masamori Shimabuku

  3. Department of Cardio-Thoracic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan

    Tetsuya Higami

Authors
  1. Makoto Hashimoto
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  2. Akihiko Yamauchi
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  3. Masamori Shimabuku
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  4. Tetsuya Higami
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Correspondence to Makoto Hashimoto.

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Hashimoto, M., Yamauchi, A., Shimabuku, M. et al. Herniation of transverse colon into mediastinum after pedicled omental grafting for mediastinitis: report of a case. Gen Thorac Cardiovasc Surg 63, 620–622 (2015). https://doi.org/10.1007/s11748-013-0327-0

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  • DOI: https://doi.org/10.1007/s11748-013-0327-0

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