减瘤手术联合热灌注化疗治疗复发性卵巢癌合并偶然发现的博赫dalek疝及术后双侧丘脑梗死：一例报告

Cytoreductive Surgery Followed by Hyperthermic Intraperitoneal Chemotherapy for Recurrent Ovarian Cancer with Incidental Bochdalek Hernia and Postoperative Bilateral Thalamic Infarct: A Case Report.

作者信息

Kahramanoglu Ilker, Turan Hasan, Yamak Altinpulluk Ece, Mammadov Zahid, Bese Tugan, Arvas Macit, Demirkiran Fuat

机构信息

aDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.

bDepartment of Anesthesiology and Reanimation, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.

出版信息

Case Rep Oncol. 2017 Mar 28;10(1):265-271. doi: 10.1159/000468980. eCollection 2017 Jan-Apr.

DOI:10.1159/000468980

PMID:28512408

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5422726/

Abstract

Congenital Bochdalek hernia is a defect of the diaphragm and very rare in adults. Only around 100 cases have been reported in the literature. Herein, we present a case with a recurrent ovarian cancer who underwent secondary cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. An oval defect with dimensions of 3 × 4 cm was seen in the left posterolateral site of the diaphragm during surgical exploration. In addition, a 6 × 3 cm iatrogenic right-sided diaphragmatic defect was found and repaired. In the early postoperative period, a bilateral thalamic infarction occurred.

摘要

先天性博赫dalek疝是一种膈肌缺损，在成年人中非常罕见。文献中仅报道了约100例病例。在此，我们报告一例复发性卵巢癌患者，该患者接受了二次减瘤手术和热腹腔内化疗。手术探查时，在膈肌左后外侧部位发现一个3×4厘米的椭圆形缺损。此外，还发现并修复了一个6×3厘米的医源性右侧膈肌缺损。术后早期，发生了双侧丘脑梗死。