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01-12-2008 | Case Report

Iatrogenic diaphragmatic hernia complicating nephrectomy: top-down or bottom-up?

Authors: V. E. de Meijer, W. J. Vles, E. Kats, P. T. den Hoed

Published in: Hernia | Issue 6/2008

Abstract

Hernias of the diaphragm are rarely reported as a complication of abdominal surgery. We review a case of a 47-year-old female who presented with dyspnoea and chest pain one day after left radical nephrectomy for renal cell carcinoma. Plain and cross-sectional imaging identified a large left-sided diaphragmatic hernia containing omentum, spleen, splenic flexure, and stomach. Our patient underwent a thoracotomy and, after hernia reduction, the diaphragmatic defect was repaired using non-absorbable sutures and a mesh. She made an uneventful recovery. The potential cause is discussed and the published literature on this rare complication is reviewed briefly.

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Title: Iatrogenic diaphragmatic hernia complicating nephrectomy: top-down or bottom-up?
Authors: V. E. de Meijer
W. J. Vles
E. Kats
P. T. den Hoed
Publication date: 01-12-2008
Publisher: Springer-Verlag
Published in: Hernia / Issue 6/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-008-0377-x

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Iatrogenic diaphragmatic hernia complicating nephrectomy: top-down or bottom-up?

Abstract

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Abstract

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