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Published in: Journal of Cardiothoracic Surgery 1/2018

Open Access 01-12-2018 | Case report

Post esophagectomy diaphragmatic hernia: a case report of a rare cause of acute respiratory distress

Authors: Valérie Lamontagne, Valérie Lafrenière-Bessi, Arthur Vieira, Éric Charbonneau, Paula A. Ugalde, Frédéric Jacques

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

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Abstract

Background

Diaphragmatic hernia is frequent among the elderly and is usually associated with mild chronic digestive and respiratory symptoms.

Case presentation

An elderly post-esophagectomy male patient, in the early postoperative period of cardiac surgery, presented with acute respiratory distress. An emergent surgery was performed to reduce a giant diaphragmatic herniation.

Conclusions

An acute transhiatal herniation can cause serious respiratory impairment; surgical repair should be considered in select patients of cardiac surgery.
Literature
1.
go back to reference Bawahab M, Mitchell P, Church N, Debru E. Management of acute paraesophageal hernia. Surg Endosc. 2009;23:255–9.CrossRef Bawahab M, Mitchell P, Church N, Debru E. Management of acute paraesophageal hernia. Surg Endosc. 2009;23:255–9.CrossRef
2.
go back to reference Greub G, Liaudet L, Wiesel P, Bettschart V, Schaller MD. Respiratory complications of gastroesophageal reflux associated with Paraesophageal hiatal hernia. J Clin Gastroenterol. 2003;37(2):129–31.CrossRef Greub G, Liaudet L, Wiesel P, Bettschart V, Schaller MD. Respiratory complications of gastroesophageal reflux associated with Paraesophageal hiatal hernia. J Clin Gastroenterol. 2003;37(2):129–31.CrossRef
3.
go back to reference Brenkman FJH, Parry K, Noble F, et al. Hiatal hernia after Esophagectomy for cancer. Ann Thorac Surg. 2017;103:1055–62.CrossRef Brenkman FJH, Parry K, Noble F, et al. Hiatal hernia after Esophagectomy for cancer. Ann Thorac Surg. 2017;103:1055–62.CrossRef
4.
go back to reference Mirdamadi SA, Arasteh M. Hiatal hernia: an unusual presentation of dyspnea. N Am J Med Sci. 2010;2(8):395–6.CrossRef Mirdamadi SA, Arasteh M. Hiatal hernia: an unusual presentation of dyspnea. N Am J Med Sci. 2010;2(8):395–6.CrossRef
5.
go back to reference Stylopoulos N, Gazelle SG, Rattner DW. Paraesophageal hernia: operation or observation. Ann Surg. 2002;236:492–501.CrossRef Stylopoulos N, Gazelle SG, Rattner DW. Paraesophageal hernia: operation or observation. Ann Surg. 2002;236:492–501.CrossRef
6.
go back to reference Berkman N, Simon Z, Almog Y, Kramer MR. Acute gastric dilation causing respiratory failure and “tension pneumothorax” in an elderly woman with a diaphragmatic hernia. Chest. 1993;104:317–8.CrossRef Berkman N, Simon Z, Almog Y, Kramer MR. Acute gastric dilation causing respiratory failure and “tension pneumothorax” in an elderly woman with a diaphragmatic hernia. Chest. 1993;104:317–8.CrossRef
7.
go back to reference McDonnell MJ, Ahmed M, Das J, et al. Hiatal hernias are correlated with increased severity of non-cystic fibrosis bronchiectasis. Respirology. 2015;20:749–57.CrossRef McDonnell MJ, Ahmed M, Das J, et al. Hiatal hernias are correlated with increased severity of non-cystic fibrosis bronchiectasis. Respirology. 2015;20:749–57.CrossRef
8.
go back to reference Ito H, Kitami M, Ohgi S, et al. Large hiatus hernia compressing the heart and impairing the respiratory function. J Cardiol. 2003;41:29–34.PubMed Ito H, Kitami M, Ohgi S, et al. Large hiatus hernia compressing the heart and impairing the respiratory function. J Cardiol. 2003;41:29–34.PubMed
Metadata
Title
Post esophagectomy diaphragmatic hernia: a case report of a rare cause of acute respiratory distress
Authors
Valérie Lamontagne
Valérie Lafrenière-Bessi
Arthur Vieira
Éric Charbonneau
Paula A. Ugalde
Frédéric Jacques
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-018-0802-x

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