The case of postoperative strangulated diaphragmatic hernia with the symptoms of ischemia of the anterior stomach wall

Abstract

Background. Posttraumatic strangulated diaphragmatic hernias are characterized by the complexity of diagnosis and a significant number of diagnostic errors, which are fraught with severe complications, up to a fatal outcome. Materials and methods. This article presents a rare clinical case of strangulated traumatic diaphragmatic hernia in the early postoperative period after surgery on the left lung, complicated by ischemia of the anterior stomach wall. An atypical clinical picture associated with an operating trauma for the underlying disease caused difficulties in making a diagnosis. Results and conclusions. A comprehensive examination using computed tomography made it possible to diagnose a postoperative complication and conduct adequate surgical intervention from thoracic and laparotomic approaches.

Keywords

• strangulated diaphragmatic hernia
• stomach
• iatrogenic injuries
• thoracotomy
• laparotomy