Mínguez Ruiz German, García Florez Luis J, Arias Pacheco R Dario, García Bear Isabel, Ramos Pérez Virginia, Pire Abaitua Gerardo
Department of Surgery, Hospital Universitario San Agustín, Camino de Heros 6, Avilés, Asturias, Spain.
Department of Surgery, Hospital Universitario Central de Asturias, Av. Roma s/n, Oviedo, Spain.
J Surg Case Rep. 2018 Aug 20;2018(8):rjy224. doi: 10.1093/jscr/rjy224. eCollection 2018 Aug.
Post-nephrectomy diaphragmatic hernia is an extremely rare condition. The symptoms may be acute or latent and will depend on the herniated organ, which makes it difficult to suspect. Therefore, it is necessary to know about this type of iatrogenic hernia to avoid a delay in diagnosis. A radiological confirmation with computed tomography and early surgical treatment greatly decreased the morbidity and mortality. We report two cases: a 76-year-old male, who underwent a right nephrectomy 18 days prior due to a renal carcinoma; and a 59-year-old woman, who underwent the procedure 4 years prior due to left renal atrophy.
肾切除术后膈疝是一种极为罕见的病症。症状可能是急性的或隐匿的，这取决于疝入的器官，从而难以怀疑。因此，有必要了解这种医源性疝以避免诊断延误。通过计算机断层扫描进行放射学确诊并早期手术治疗可大大降低发病率和死亡率。我们报告两例病例：一例是一名76岁男性，因肾癌于18天前接受了右肾切除术；另一例是一名59岁女性，因左肾萎缩于4年前接受了该手术。
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