Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report
Abstract Background Percutaneous radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma (HCC), but delayed thermal damage can cause diaphragmatic hernia (DH). Surgery is recommended for DH, and open surgery is widely accepted. This report presents a case of laparoscopic...
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Japan Surgical Society
2021-09-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01291-8 |
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| author | Yasuaki Kimura Daisuke Ishioka Hidenori Kamiyama Shingo Tsujinaka Toshiki Rikiyama |
| author_facet | Yasuaki Kimura Daisuke Ishioka Hidenori Kamiyama Shingo Tsujinaka Toshiki Rikiyama |
| author_sort | Yasuaki Kimura |
| collection | DOAJ |
| description | Abstract Background Percutaneous radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma (HCC), but delayed thermal damage can cause diaphragmatic hernia (DH). Surgery is recommended for DH, and open surgery is widely accepted. This report presents a case of laparoscopic surgery for strangulated DH that occurred after RFA. Case presentation An 80-year-old woman with a history of hepatitis C-induced liver cirrhosis and HCC was admitted to our institution owing to sudden-onset intense epigastric pain. Twenty-two months earlier, she received RFA treatment for HCC located in segment 6/7. Contrast-enhanced computed tomography revealed herniation of the small intestine into the thoracic cavity, with mesenteric fat haziness. Emergency laparoscopic surgery was performed, and the patient was diagnosed with strangulated DH associated with the prior RFA. The defect was closed using absorbable sutures, and the ischaemic small intestine was resected via mini-laparotomy. The patient was discharged on the 10th postoperative day without complications, and no evidence of DH recurrence 15 months after surgery was noted. Conclusions Laparoscopic surgery seems useful and feasible for strangulated DH. |
| format | Article |
| id | doaj-art-e564a99f57604d43aae61c4e01968afb |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e564a99f57604d43aae61c4e01968afb2025-08-20T03:38:44ZengJapan Surgical SocietySurgical Case Reports2198-77932021-09-01711510.1186/s40792-021-01291-8Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case reportYasuaki Kimura0Daisuke Ishioka1Hidenori Kamiyama2Shingo Tsujinaka3Toshiki Rikiyama4Department of Surgery, Chichibu Municipal HospitalDepartment of Surgery, Chichibu Municipal HospitalDepartment of Surgery, Chichibu Municipal HospitalDepartment of Surgery, Saitama Medical Center, Jichi Medical UniversityDepartment of Surgery, Saitama Medical Center, Jichi Medical UniversityAbstract Background Percutaneous radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma (HCC), but delayed thermal damage can cause diaphragmatic hernia (DH). Surgery is recommended for DH, and open surgery is widely accepted. This report presents a case of laparoscopic surgery for strangulated DH that occurred after RFA. Case presentation An 80-year-old woman with a history of hepatitis C-induced liver cirrhosis and HCC was admitted to our institution owing to sudden-onset intense epigastric pain. Twenty-two months earlier, she received RFA treatment for HCC located in segment 6/7. Contrast-enhanced computed tomography revealed herniation of the small intestine into the thoracic cavity, with mesenteric fat haziness. Emergency laparoscopic surgery was performed, and the patient was diagnosed with strangulated DH associated with the prior RFA. The defect was closed using absorbable sutures, and the ischaemic small intestine was resected via mini-laparotomy. The patient was discharged on the 10th postoperative day without complications, and no evidence of DH recurrence 15 months after surgery was noted. Conclusions Laparoscopic surgery seems useful and feasible for strangulated DH.https://doi.org/10.1186/s40792-021-01291-8Diaphragmatic herniaStrangulated herniaRadiofrequency ablationComplicationLaparoscopic surgery |
| spellingShingle | Yasuaki Kimura Daisuke Ishioka Hidenori Kamiyama Shingo Tsujinaka Toshiki Rikiyama Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report Surgical Case Reports Diaphragmatic hernia Strangulated hernia Radiofrequency ablation Complication Laparoscopic surgery |
| title | Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report |
| title_full | Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report |
| title_fullStr | Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report |
| title_full_unstemmed | Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report |
| title_short | Laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma: a case report |
| title_sort | laparoscopic surgery for strangulated diaphragmatic hernia after radiofrequency ablation for hepatocellular carcinoma a case report |
| topic | Diaphragmatic hernia Strangulated hernia Radiofrequency ablation Complication Laparoscopic surgery |
| url | https://doi.org/10.1186/s40792-021-01291-8 |
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