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Case Reports
. 2024 Jun 3;16(6):e61616.
doi: 10.7759/cureus.61616. eCollection 2024 Jun.

Diaphragmatic Hernia With Secondary Pneumothorax Due to Intestinal Perforation After Thoracoabdominal Aortic Aneurysm Operation: A Case Report

Kazuki Nishimura  1 , Satoshi Hayasaka  1
Affiliations
Case Reports

Diaphragmatic Hernia With Secondary Pneumothorax Due to Intestinal Perforation After Thoracoabdominal Aortic Aneurysm Operation: A Case Report

Kazuki Nishimura et al. Cureus. .

Abstract

A male in his 70s with a history of artificial vessel replacement for a thoracoabdominal aneurysm had been treated non-operatively for adhesive bowel obstruction during the past two months. The initial symptom was nausea and the patient was transferred to our hospital because of diffuse abdominal pain. Computed tomography revealed pneumothorax, diaphragmatic hernia, and bowel perforation. A left thoracic drain was inserted and air and clear yellow fluid were drained. Secondary pneumothorax was presumably caused by intestinal perforation associated with diaphragmatic hernia. Although reported cases with secondary pneumothorax associated with diaphragmatic hernia and intestinal perforation are caused by trauma, this complication can occur postoperatively.

Keywords: diaphragmatic hernia; iatrogenic diaphragmatic hernia; intestinal perforation; secondary pneumothorax; thoracoabdominal aortic aneurysm surgery.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Chest computed tomography showing pneumothorax and diaphragmatic hernia
Figure 2
Figure 2. Abdominal computed tomography showing intra-abdominal free air
Figure 3
Figure 3. Intraoperative image of the small intestine perforation
See this image and copyright information in PMC

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