Abstract
BackgroundDiaphragmatic hernia is frequent among the elderly and is usually associated with mild chronic digestive and respiratory symptoms.Case presentationAn elderly post-esophagectomy male patient, in the early postoperative period of cardiac surgery, presented with acute respiratory distress. An emergent surgery was performed to reduce a giant diaphragmatic herniation.ConclusionsAn acute transhiatal herniation can cause serious respiratory impairment; surgical repair should be considered in select patients of cardiac surgery.
Highlights
Diaphragmatic hernia is frequent among the elderly and is usually associated with mild chronic digestive and respiratory symptoms
Acute respiratory distress associated with a giant diaphragmatic herniation of abdominal contents is unusual in the early postoperative period of cardiac surgery
* Correspondence: frederic.jacques@criucpq.ulaval.ca 1Service of Cardiac Surgery, Multidisciplinary Department of Cardiology, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, QC, Canada Full list of author information is available at the end of the article out
Summary
Diaphragmatic hernia is frequent among the elderly and is usually associated with mild chronic digestive and respiratory symptoms. Acute respiratory distress associated with a giant diaphragmatic herniation of abdominal contents is unusual in the early postoperative period of cardiac surgery. Atypical symptoms, detailed clinical management and the surgical hernia repair in an elderly post-esophagectomy male patient are described. * Correspondence: frederic.jacques@criucpq.ulaval.ca 1Service of Cardiac Surgery, Multidisciplinary Department of Cardiology, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, QC, Canada Full list of author information is available at the end of the article out.
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