Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Laparoscopic Repair of Diaphragmatic Hernia Occurred after Spontaneous Esophageal Rupture Treated by the Fundic Patch Operation—Report of a Case—
Hiro OKAWAShinya ASAMITakashi KANAZAWASatoshi ONONorihisa TAKAKURA
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2016 Volume 77 Issue 9 Pages 2197-2200

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Abstract
The case involved a 44-year-old man who underwent sutures for closing esophageal perforation and the fundic patch operation using the fundus of the stomach through left thoracotomy for spontaneous esophageal rupture in September 2014. His postoperative course was uneventful and he was discharged from our hospital on the 18th postoperative day. Thereafter he had been well without having major complications until seven months after the operation, when he presented with vomiting and was admitted to our hospital. An abdominal CT scan revealed volvulus of the stomach associated with diaphragmatic hernia. We performed endoscopic repair followed by surgical operation.
It has relatively rarely been reported that diaphragmatic hernia occurs after operation for spontaneous esophageal rupture, so that we present our case together with a review of the literature.
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© 2016 Japan Surgical Association
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