Abstract
A 68-year-old woman who had received coronary artery bypass grafting (CABG) using a right gastroepiploic artery (GEA) for angina of effort 2 years earlier was brought into our hospital by ambulance with vomiting and diarrhea. An abdominal CT scan revealed the transvers colon to have herniated into the pericardium cavity. We diagnosed the case as iatrogenic diaphragmatic hernia and performed operation on the next day. The herniated transverse colon and omentum were reduced to the abdominal cavity and the hernial orifice which was about 3.5cm in diameter and existed on the diaphragm was closed and covered with a bioabsorbable mesh. The patient was discharged uneventfully.
Cardiovascular and gastroenterological surgeons should understand that a diaphragmatic hernia can be a complication of CABG using a GEA graft.
