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

Authors

  • Emília C. Fraga Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra
  • Cristina P. Camacho Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra
  • Ana C. Almeida Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra
  • Maria J. Amaral Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra
  • João R. Almeida Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra

DOI:

https://doi.org/10.18203/2349-2902.isj20200055

Keywords:

Strangulated diaphragmatic hernia, Complication of bariatric surgery, Laparoscopic repair of iatrogenic diaphragmatic hernia, Laparoscopic adjustable gastric band

Abstract

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. 

Author Biography

Emília C. Fraga, Department of Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra

General Surgery

References

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Published

2020-01-27

Issue

Section

Case Reports