Delayed Iatrogenic Diaphragmatic Hernia after Left Lower Lobectomy

Abstract

A 66-year-old patient undergoing regular follow-up at Samsung Medical Center after left lower lobectomy vis-ited the emergency department around 9 months postoperatively because of nausea and vomiting after rou-tine esophagogastroduodenoscopy at a local clinic. Abdominal computed tomography showed the stomach her-niating into the left thoracic cavity. We explored the pleural cavity via video-assisted thoracic surgery (VATS). Adhesiolysis around the herniated stomach and laparotomic reduction under video assistance were success-fully performed. The diaphragmatic defect was repaired via VATS. The postoperative course was uneventful, and he was discharged with resolved digestive tract symptoms.

Keywords

• Lung surgery
• Complication
• Diaphragm
• Hernia