DIAPHRAGMATIC HERNIA AFTER LIVER TRANSPLANTATION; A TRANS-ABDOMINAL LAPAROSCOPIC PRIMARY REPAIR
David E. McCabe*, William S. Richardson
Surgery, Ochsner Clinic, New Orleans, LA
Background:Diaphragmatic hernia after liver transplantation is a rare complication. The majority occur in children and on the right.
Case:67 year old s/p liver transplant in 2015. Workup for vague abdominal pains revealed a left anterior (non-congenital) diaphragmatic hernia with the gastric body & fundus (not LES), small and large bowel above the diaphragm separate of the esophageal hiatus. Repair was done laparoscopically and the defect repaired primarily. In follow up the patient was asymptomatic and imaging negative for any early recurrence.
Conclusion:Diaphragmatic hernia after liver transplantation is a rare occurrence. A laparoscopic approach can be performed safely and successfully.
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