Case report of A 72-year-old Man with Diaphragmatic Hernias and Thoracic Gastropericardial Fistula after Esophagectomy for 18 Years

Abstract Background: Both diaphragmatic hernias and thoracic gastropericardial fistula rarely occurred simultaneously on patients with radical esophagectomy.Case presentation: A 72-year-old man presented to our hospital with one day of nausea, vomiting and acute left chest pain. He had radical esophagectomy for esophageal cancer 18 years ago. Computed tomography (CT) of the chest revealed diaphragmatic hernias and air collection within pericardial space. While an operation of diaphragmatic hernia repair was decisively performed to prevent further serious complications, the thoracic gastropericardial fistula was also found unusually. Conclusion: Diaphragmatic hernias and thoracic gastropericardial fistula may occasionally coexist in patients with esophagectomy. Upper GI radiograph with water-soluble contrast agent is a better diagnosis tool than CT in visualizing the fistula.

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Case report of a 72-year-old man with diaphragmatic hernia and thoracic gastropericardial fistula after esophagectomy for 18 years

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01574-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Xinjian Xu ◽

Zhaoyang Yan ◽

Ming He

Keyword(s):

Diaphragmatic Hernia ◽

Water Soluble ◽

Radical Esophagectomy ◽

Case Presentation ◽

Left Chest ◽

Upper Gi ◽

Gastropericardial Fistula ◽

Water Soluble Contrast ◽

Diaphragmatic Hernias ◽

Diaphragmatic Hernia Repair

Abstract Background Both diaphragmatic hernia and thoracic gastropericardial fistula rarely occur simultaneously in patients with radical esophagectomy. Case presentation A 72-year-old man presented to our hospital with 1 day of nausea, vomiting and acute left chest pain. He had radical esophagectomy (Sweet approach) for esophageal cancer 18 years ago. Computed tomography (CT) of the chest revealed diaphragmatic hernias and air collection within the pericardial space. While an operation of diaphragmatic hernia repair was decisively performed to prevent further serious complications, unusually, a thoracic gastropericardial fistula was also found unusually. Conclusion Diaphragmatic hernia and thoracic gastropericardial fistula may occasionally coexist in patients with esophagectomy. Upper GI radiograph with a water-soluble contrast agent is a better diagnostic tool than CT in visualizing the fistula.

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Skin necrosis following extravasatin of water soluble contrast media-report of 2 cases

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1987.23.4.658 ◽

1987 ◽

Vol 23 (4) ◽

pp. 658

Author(s):

J H Park ◽

S H Kim ◽

M J Shin ◽

J C Kim ◽

K W Minn ◽

...

Keyword(s):

Contrast Media ◽

Skin Necrosis ◽

Water Soluble ◽

Media Report ◽

Water Soluble Contrast

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The effect of oil and water-soluble contrast medium in hysterosalpingography on thyroid function

10.26226/morressier.5912d9eed462b8029238669e ◽

2017 ◽

Author(s):

Shuhei So

Keyword(s):

Contrast Medium ◽

Thyroid Function ◽

Water Soluble ◽

Water Soluble Contrast ◽

Water Soluble Contrast Medium

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Water-soluble contrast media compared with barium in enteric follow-through

Acta Radiologica ◽

10.3109/02841858809171946 ◽

1988 ◽

Vol 29 (5) ◽

pp. 603-610 ◽

Cited By ~ 1

Author(s):

F. Laerum ◽

A. Stordahl ◽

S. Aase

Keyword(s):

Contrast Media ◽

Water Soluble ◽

Water Soluble Contrast

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Faecopneumothorax due to missing diaphragmatic hernia: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02606-3 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Resul Nusretoğlu ◽

Yunus Dönder

Keyword(s):

Computed Tomography ◽

Diaphragmatic Hernia ◽

Colon Resection ◽

Emergency Laparotomy ◽

Hernia Sac ◽

Case Presentation ◽

Abdominal Tenderness ◽

History Of ◽

Diaphragmatic Hernias ◽

Tomography Scan

Abstract Background Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Case presentation A 54-year-old Turkish male patient admitted to the emergency department with abdominal pain and dyspnea ongoing for 2 days. He had general abdominal tenderness in all quadrants. He had a history of a stabbing incident in his left subcostal region 3 months ago without any pathological findings in thoracoabdominal computed tomography scan. New thoracoabdominal computed tomography showed a diaphragmatic hernia and fluid in the hernia sac. Due to respiratory distress and general abdominal tenderness, the decision to perform an emergency laparotomy was made. There was a 6 cm defect in the diaphragm. There were also necrotic fluids and stool in the hernia sac in the thorax colon resection, and an anastomosis was performed. The defect in the diaphragm was sutured. The oral regimen was started, and when it was tolerated, the regimen was gradually increased. The patient was discharged on the postoperative 11th day. Conclusions Acquired diaphragmatic hernia may be asymptomatic or may present with complications leading to sepsis. In this report, acquired diaphragmatic hernia and associated colonic perforation of a patient with a history of stab wounds was presented.

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