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European Journal of Cardio-Thoracic Surgery, Vol 9, 664-666, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Strangulated iatrogenic diaphragmatic hernia: a late diagnosed complication

PR Axon, PJ Whatling, S Dwerryhouse and CP Forrester-Wood
Frenchay Hospital, Briistol, UK.

Three cases of iatrogenic diaphragmatic herniation are reported following thoracic and high abdominal surgery. Each case presented at least 6 months after the original surgery with symptoms of acute upper gastrointestinal obstruction. Diaphragmatic herniation was not considered in the initial differential diagnosis which lead to a delay in their referral. We emphasise the importance of checking the diaphragm following upper abdominal surgery and care when closing a defect.

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