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Publication
Passing Through a Hole: Delayed Diaphragmatic Hernia After Cytoreductive Surgery
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Advisor(s)
Abstract(s)
A diaphragmatic hernia is a protrusion of abdominal contents into the thoracic cavity. Although it is
commonly congenital, diaphragmatic hernias can also be acquired. Blunt or penetrating trauma are among
the most frequent causes, although spontaneous or iatrogenic cases have been reported. Recently, some
case reports related to diaphragmatic hernia after debulking surgery for advanced ovarian cancer have been
described. This is an exceedingly rare but life-threatening complication, being prompt recognition and
surgical correction critical.
We report a case of a delayed diaphragmatic hernia in a 19-year-old female resulting from cytoreductive
surgery for advanced ovarian cancer. Rapid evolution from gastrointestinal symptoms to hypovolemic shock
occurred, and intensive care admission was required. Immediate surgery was critical to improving the
patient outcome.
This case highlights this uncommon but life-threatening complication, the challenges of diagnosing and
managing those patients, and the need for early recognition, support, and surgical correction.
Description
Keywords
cytoreductive surgery diaphragmatic hernia peritonectomy hypovolemic shock advanced ovarian cancer
Pedagogical Context
Citation
Mestre A, Ferreira Simões A, Marino F, et al. (December 09, 2021) Passing Through a Hole: Delayed Diaphragmatic Hernia After Cytoreductive Surgery. Cureus 13(12): e20314. DOI 10.7759/cureus.20314