• Yusuke Yonemura, Kenji Umeda, Ryuichi Kumashiro, Kohjiro Mashino, Tadashi Ogawa, Eisuke Adachi, Hiroshi Saeki, Hideaki Uchiyama, Hirofumi Kawanaka, Tetsuo Ikeda, Hideya Tashiro, Hisanobu Sakata, and Yoshihiko Maehara.
• Fukuoka Igaku Zasshi. 2013 Dec 1; 104 (12): 599-602.

AbstractIncarcerated diaphragmatic hernia after laparoscopic right hepatectomy is very rare. An 81-year-old man underwent laparoscopic right hepatectomy for giant hepatic hemangioma. Twenty months after the surgery, he began to complain of nausea and abdominal pain and was brought to our hospital. Chest X-ray showed an abdominal gas shadow above the right diaphragm and computed tomography showed herniation of the colon into the right thoracic cavity. We diagnosed ileus due to incarcerated diaphragmatic hernia and performed emergency operation under laparoscopic surgery. After successfully reducing the prolapsed colon back to the abdominal cavity, the diaphragmatic hernia orifice was repaired. Incarcerated diaphragmatic hernia sometimes causes the fatal state. Clinicians must therefore consider such findings a late complication of laparoscopic hepatectomy.

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