Eur J Cardiothorac Surg 2006;30:669
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Diaphragmatic herniation after esophagectomy
Giovanni Zaninottoa,*,
Sabrina Rampadob,
Alberto Ruola,
Ermanno Anconaa
a Istituto Oncologico Veneto (IOV), Clinica Chirurgica III, University of Padova School of Medicine, Padova, Italy
b Department of Medical and Surgical Sciences, Clinica Chirurgica III, University of Padova School of Medicine, Padova, Italy
Received 11 May 2006;
received in revised form 5 July 2006;
accepted 10 July 2006.
* Corresponding author. Address: Istituto Oncologico Veneto (IOV), Department of Medical and Surgical Sciences, Clinica Chirurgica III, University of Padova School of Medicine, Via Giustiniani 2, 35128 Padova, Italy. Tel.: +39 049 8211718; fax: +39 049 8213151. (Email: giovanni.zaninotto{at}unipd.it).
Key Words: Herniation Diaphragm Esophagus Esophagectomy Surgical morbidity
We report two cases of major diaphragmatic hernia after esophagectomy.
In a 60-year-old asymptomatic male, the diaphragmatic defect (Fig. 1
) was closed with 7 cmx15 cm dual-mesh patch (left posterolateral thoracotomy, Fig. 2
). A 50-year-old female presented with bowel obstruction 7 months after surgery: emergency laparoscopic surgery was performed: the defect was closed primarily.

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Fig. 1. Chest computed tomographic scans: herniation of several jejuno-ileal loops and associated atelectasis.
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