Diaphragmatic gastric herniation after surgical

Abstract

Background: Diaphragmatic hernia is an uncommon complication in thoracic and abdominal surgical procedures, but important because it subjects the patient to a new intervention. Case: Male patient submitted to total nephrectomy and renal necrosis. In the postoperative period he presented dyspeptic symptoms; the imaging study revealed left diaphragmatic hernia with total protrusion of the stomach in the thoracic region. Discussion: Diaphragmatic hernia is defined as transdiaphragmatic evisceration of abdominal contents in the chest, affecting the stomach more frequently. They can be classified into congenital and adiquirid, with Bochdalek being the main congenital hernia. The iatrogenic diaphragmatic hernia is a rare complication, with few reports in the literature. The diagnosis is established by a computerized tomography examination that shows the protrusion of the viscus in the thoracic cavity. The treatment of choice is surgery.