Delayed diaphragmatic hernia and gastric fundus incarceration: a rare complication after transarterial chemoembolization

2021 ◽  
Author(s):  
Su Kah Goh ◽  
Ali Naazar ◽  
Michael Issa ◽  
Graham Starkey ◽  
Dinesh Ranatunga ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Transarterial Chemoembolization ◽  
Rare Complication ◽  
Gastric Fundus

scholarly journals Retracted: Diagnostic Dilemma of a Diaphragmatic Hernia

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Salman Yahya ◽  
Sonia Zafar ◽  
Hafsa S. Babar
Keyword(s):  
Diaphragmatic Hernia ◽  
Turning Point ◽  
Rare Complication ◽  
Young Male ◽  
Acute Ischemia ◽  
Radiological Findings ◽  
Diagnostic Dilemma ◽  
High Index Of Suspicion ◽  
Disease Free

Diaphragmatic hernia post esophagectomy is a rare complication but a reality in its existence. It is typically difficult to diagnose but highly depends on keeping high index of suspicion. In our case report, the young male who underwent esophagectomy for esophageal carcinoma, remained disease free and stable in his 9 months follow up, suddenly presented in the emergency department with the symptoms of shortness of breath, chest pain, vomiting and tachycardia. The case was typically complicated by the initial treatment given for acute ischemia and cardiogenic shock. Radiological findings proved to be helpful and turning point in the diagnosis and overall management.

Rare complication after pericardial window: symptomatic diaphragmatic hernia containing bowel and liver

2020 ◽  
Vol 13 (11) ◽  
pp. e236078
Author(s):  
Rebecca Harsten ◽  
Mark Kelly ◽  
Madeleine Garner ◽  
Peter Roberts
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Complication ◽  
Right Ventricular Dysfunction ◽  
District General Hospital ◽  
Left Lobe ◽  
Congenital Defects ◽  
Pericardial Window ◽  
Cardiac Compression ◽  
Liver Herniation ◽  
Upper Gastrointestinal

A 37-year-old woman presented to her local district general hospital with a cough, pleuritic chest pain and intermittent cyanosis. Eight months prior, she underwent a successful pericardial window for recurrent, symptomatic pericardial effusions. On presentation she was hypoxic but haemodynamically stable. Her chest radiograph raised the suspicion of a diaphragmatic hernia, confirmed by CT imaging. This identified herniation through the diaphragm of the transverse colon and left lobe of the liver resulting in cardiac compression and right ventricular dysfunction. She continued to deteriorate and required emergency intubation to allow safe transfer to a tertiary upper gastrointestinal unit. She underwent a laparotomy and repair of the diaphragmatic hernia with an uneventful inpatient recovery. In the literature, diaphragmatic liver herniation is a recognised complication secondary to trauma or congenital defects, however, to our knowledge, there are currently no cases described following pericardial windowing.

scholarly journals Early Management Experience of Perforation after ERCP

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Guohua Li ◽  
Youxiang Chen ◽  
Xiaojiang Zhou ◽  
Nonghua Lv
Keyword(s):  
Conservative Treatment ◽  
Early Phase ◽  
Rare Complication ◽  
Gastric Fundus ◽  
Duodenal Perforation ◽  
Endoscopic Retrograde ◽  
Afferent Limb ◽  
Early Management ◽  
Endoscopic Nasobiliary Drainage ◽  
Management Experience

Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations.Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (0.45%) were identified and retrospectively reviewed.Results. Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis. All patients with perforations were recognized during ERCP by X-ray and managed immediately. One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD), endoscopic retrograde pancreatic duct drainage (ERPD), gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on. All patients with perforation recovered successfully.Conclusions. We found that: (1) the diagnosis of perforation during ERCP may be easy, but you must pay attention to it. (2) Most retroperitoneal perforations can recover with only medical conservative treatment in early phase. (3) Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.

scholarly journals Spontaneous Hepaticoduodenal and Choledochoduodenal Fistula Mimicking Duodenal Ulcer Perforation, a Very Rare Complication of Transarterial Chemoembolization

2015 ◽  
Vol 9 (1) ◽  
pp. 68-73
Author(s):  
Varayu Prachayakul ◽  
Pitulak Aswakul
Keyword(s):  
Transarterial Chemoembolization ◽  
Anastomotic Stricture ◽  
Rare Complication ◽  
Therapeutic Interventions ◽  
Endoscopic Retrograde ◽  
Clinical Sepsis ◽  
Endoscopic View ◽  
Choledochoduodenal Fistula ◽  
Duodenal Ulcer Perforation ◽  
Tace Procedure

Spontaneous bilo-enteric fistula is a rare complication following surgery or some therapeutic interventions such as transarterial chemoembolization (TACE). The present case was a young man, a known case of chronic hepatitis B with multiple recurrent hepatocellular carcinoma, who presented with clinical sepsis and jaundice. Computed tomography showed dilated proximal left intrahepatic ducts which suspected anastomotic stricture. He underwent endoscopic retrograde cholangiopancreatography, but the endoscopic view showed a deep ulcer covered by yellowish debris tissue. After re-evaluation it was found to be hepaticoduodenostomy and choledochoduodenostomy tracts. In the present case the fistula was suspected to be related to a previous TACE procedure.

Iatrogenic diaphragmatic hernia in an infant following cardiac surgery: the culprit in a case of unresolved respiratory distress: Case report and review of the literature

2019 ◽  
Vol 29 (2) ◽  
pp. 238-240
Author(s):  
Erica N. Heinrichs ◽  
Michelle S. Miller
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Respiratory Distress ◽  
Diaphragmatic Hernia ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Congenital Cardiac Surgery ◽  
Pediatric Intervention

AbstractAcquired diaphragmatic hernia is a rare complication of pediatric intervention or surgery. In this study, we report an infant with iatrogenic diaphragmatic hernia following neonatal complex congenital cardiac surgery, and then we review the associated literature.

scholarly journals PROPOSAL OF A REVISIONAL SURGERY TO TREAT NON-INSULINOMA HYPERINSULINEMIC HYPOGLICEMIA POSTGASTRIC BYPASS

2015 ◽  
Vol 28 (4) ◽  
pp. 278-281 ◽  
Author(s):  
José SAMPAIO-NETO ◽  
Alcides José BRANCO-FILHO ◽  
Luis Sérgio NASSIF ◽  
André Thá NASSIF ◽  
Flávia David João De MASI ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Revisional Surgery ◽  
Rare Complication ◽  
Gastric Fundus ◽  
Hyperinsulinemic Hypoglycemia ◽  
Proximal Jejunum ◽  
Surgical Methods ◽  
Maintain Weight Loss ◽  
One Year

Background: Hyperinsulinemic hypoglicemia with severe neuroglycopenic symptoms has been identified as a late and rare complication in patients submitted to Roux-en-Y gastric bypass. However, the potential gravity of its manifestations requires effective treatment of this condition. The absence of treatment makes it necessary to develop more effective clinical or surgical methods. Aim: To present one surgical option to revisional surgery in the treatment of hyperinsulinemic hypoglicemia Methods: The procedure consists in reconstituting alimentary transit through the duodenum and proximal jejunum, while keeping the restrictive part of the gastric bypass. As an additional strategy to maintain weight loss, is realized gastric fundus resection, aiming to suppress ghrelin production more effectively. Results: It was used in three patients with successful results in one year of follow-up. Conclusion: The procedure to reconstruct the food transit through the duodenum and proximal jejunum, keeping the restrictive component of gastric bypass in the treatment of hyperinsulinemic hypoglycemia showed good initial results and validated its application in other cases with this indication.

Right-Sided Diaphragmatic Hernia after Living Donor Right Hepatectomy: A Rare Complication after Living Donor

2012 ◽  
Vol 94 (10S) ◽  
pp. 640
Author(s):  
H. C. Kim ◽  
G.-S. Choi ◽  
J. C. Jung
Keyword(s):  
Diaphragmatic Hernia ◽  
Living Donor ◽  
Rare Complication ◽  
Right Hepatectomy

scholarly journals Iatrogenic diaphragmatic hernia after laparoscopic gastric band removal: a rare case report

2020 ◽  
Vol 7 (2) ◽  
pp. 557
Author(s):  
Emília C. Fraga ◽  
Cristina P. Camacho ◽  
Ana C. Almeida ◽  
Maria J. Amaral ◽  
João R. Almeida
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Diaphragmatic Hernia ◽  
Rare Case ◽  
Gastric Band ◽  
Rare Complication ◽  
Laparoscopic Gastric Banding ◽  
Adjustable Gastric Band ◽  
Thoracic Pain ◽  
Upper Abdominal

Iatrogenic diaphragmatic hernia is a rare complication of esophageal and upper abdominal surgery. The use of the gastric band has been an established and popular surgical treatment for morbid obesity. We describe a rare case of a patient who had undergone laparoscopic surgery to remove an adjustable gastric band, who presented 5 months later with an acute intense thoracic pain. The computed tomography scan revealed a diaphragmatic hernia containing the stomach. The patient required emergent laparoscopic surgery to reduce the hernia, repair the defect and resection of the ischemic stomach. In this case report, we discuss the etiology, diagnosis and treatment of this very rare complication of laparoscopic gastric banding removal. 

scholarly journals 2344 A Case of TACE: A Rare Complication of Transarterial Chemoembolization

2019 ◽  
Vol 114 (1) ◽  
pp. S1307-S1307
Author(s):  
Eric Lorio ◽  
Aws Alameri ◽  
Patricia Wathen
Keyword(s):  
Transarterial Chemoembolization ◽  
Rare Complication
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