2020 Volume 10 Issue 1 Pages 54-58
A 62-year-old woman with a history of a pubic fracture due to a traffic accident 8 years ago was admitted to previous hospital because of left chest discomfort and nausea. CT revealed incarceration of a stomach into the left thoracic cavity. The patient was transferred to our hospital for the treatment. The next day laparoscopic surgery was performed. The stomach and the lateral segment of the liver were invaginated into the hernia orifice in the left diaphragm. The hernial components were successfully drawn back into the abdominal cavity. The hernia orifice was closed with nonabsorbable suture and reinforced with a mesh. The final diagnosis was incarcerated traumatic left diaphragmatic hernia with delayed onset. The postoperative course was uneventful, and the patient was discharged 12 days after the surgery. Laparoscopic surgery was considered one of effective method for relatively easy reduction and accurate evaluation of incarcerated organs.
