ArticleSurgical case reports2026
Delayed Strangulated Right Diaphragmatic Hernia after Retroperitoneal Tumor Resection with Hepatectomy: A Case Report.
Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionDelayed iatrogenic diaphragmatic hernia after abdominal surgery is an uncommon complication; however, cases occurring after hepatectomy are relatively more commonly reported in the literature. Such hernias often develop after a significant latency period, but may progress to life-threatening emergencies, including bowel strangulation. Here, we report a rare case of delayed right diaphragmatic hernia following hepatectomy. CASE PRESENTATION: A man in his 70s, with a history of right hepatectomy for retroperitoneal liposarcoma 4 years prior, presented with acute abdominal pain. CT revealed a strangulated right diaphragmatic hernia with intestinal ischemia. The hernia orifice, which had enlarged by approximately 10 mm/year compared with prior imaging over the preceding 2 years, measured 55 mm on CT but was found to be an 80-mm defect intraoperatively. Emergency surgery confirmed extensive bowel necrosis, requiring large intestinal resection and primary repair. The patient developed short bowel syndrome and was discharged on POD 24.
conclusionsPost-hepatectomy diaphragmatic hernias may enlarge and be underestimated on imaging. Early surgery and close follow-up are recommended in such cases, as delayed intervention can result in life-threatening complications.
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