Laparoscopic Repair of Delayed Post-traumatic Diaphragmatic Hernia whose Progress was Assessed Using Previous Computed Tomography Images—A Case Report—

Abstract We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent postprandial periumbilical pain. Eight years earlier, he had undergone radiofrequency ablation for hepatocellular carcinoma at hepatic segment VIII. Computed tomography, gastrografin enema examination revealed transverse colon obstruction because of a diaphragmatic hernia. We diagnosed diaphragmatic hernia associated with the prior radiofrequency ablation treatment. The patient underwent laparoscopic repair of the diaphragmatic hernia. Though the patient experienced the recurrence once, relaparoscopic treatment has improved the patient's conditions. Thus, diaphragmatic hernia can develop as a complication of radiofrequency ablation treatment. A laparoscopic approach is safe, feasible, and minimally invasive, even in patients with cirrhosis who develop iatrogenic diaphragmatic hernia as a complication of radiofrequency ablation treatment.

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A Case Report of Surgery on Multiple Fracture in Patient with Old Traumatic Diaphragmatic Hernia

Korean Journal of Anesthesiology ◽

10.4097/kjae.1994.27.8.1026 ◽

1994 ◽

Vol 27 (8) ◽

pp. 1026

Author(s):

Yoon Jeong Choi ◽

Jong Hak Kim ◽

Chi Hyo Kim ◽

Choon Hi Lee

Keyword(s):

Case Report ◽

Diaphragmatic Hernia ◽

Multiple Fracture ◽

Traumatic Diaphragmatic Hernia

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A rare case of accessory maxilla: a case report and literature review of Tessier no. 7 clefts

Journal of International Medical Research ◽

10.1177/0300060520925680 ◽

2020 ◽

Vol 48 (5) ◽

pp. 030006052092568

Author(s):

Ming Sun ◽

Na Lv ◽

Ya Xiao ◽

Jiabin Li ◽

Guangzhao Guan

Keyword(s):

Computed Tomography ◽

Case Report ◽

Rare Case ◽

Clinical Presentation ◽

Craniofacial Abnormalities ◽

Supernumerary Teeth ◽

Computed Tomography Images ◽

Facial Clefts ◽

Patient Prognosis ◽

Patient’S History

Bilateral Tessier no. 7 clefts are rarely reported in the literature. Here, we describe the presence of accessory maxilla with supernumerary teeth in a patient who exhibited bilateral Tessier no. 7 clefts; the diagnosis was established based on the patient’s history, clinical presentation, and computed tomography images. A review of the available literature revealed 24 patients with Tessier no. 7 clefts from 2000 to 2020, including our patient. The most common clinical manifestation in patients with Tessier no. 7 clefts comprises bilateral facial clefts. Additionally, Tessier no. 7 clefts are more frequently found in boys or men, rather than in girls or women. The presence of an accessory maxilla with supernumerary teeth in a patient with bilateral Tessier no. 7 clefts is extremely rare. Early detection of craniofacial abnormalities is important, because it may influence patient prognosis and management.

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