Emergency Surgery due to Giant Diaphragm Hernia Causing Acute Abdominal and Dyspnea: A Case Report

Abstract

A 78-year-old female patient was admitted to the emergency department with severe abdominal pain and respiratory distress. In the Computer Tomography (CT) examination of the patient; It was observed that there was a hernia in the left leaf of the diaphragm and the stomach, spleen and intestines were protruding in the left pleural space up to the left clavicle. In the patient's anamnesis; there was breathing difficulty that has been going on for many years and has increased in recent days and the general condition disorder that has developed recently. A giant left diaphragmatic hernia was observed in our patient, who was urgently scheduled for diagnostic laparotomy. The spleen, stomach and intestines in the left pleural cavity were taken into the abdomen. Splenectomy was performed because the spleen was adherent to the left pleural cavity and its capsule was opened. The diaphragmatic hernia was repaired and closed with prolene mesh. In this case, we presented the repair and case management of atraumatic diaphragmatic hernia causing acute abdomen and dyspnea.