Transthoracic Littre's hernia presenting with faecopneumothorax following perforation of the Meckel's diverticulum: a late complication of oesophagectomy.
BMJ Case Rep
; 20172017 Oct 20.
Article
em En
| MEDLINE
| ID: mdl-29054892
ABSTRACT
A Littre's hernia is an unusual phenomenon where a Meckel's diverticulum protrudes through a potential abdominal opening. We wish to present a unique case of a 79-year-old man with respiratory distress following a fall from standing, initially managed as a haemothorax. After a chest drain was placed, bowel contents were drained from the pleural cavity and he was taken to theatre. He had a history of minimally invasive oesophagectomy for cancer and had subsequently developed a diaphragmatic hernia. A blind ending diverticulum with a perforation at its tip was found in the left oblique lung fissure that was subsequently confirmed histologically as a perforated Meckel's diverticulum. The patient had a prolonged stay on the intensive care unit with a left-sided empyema that was managed radiologically prior to discharge. Unfortunately 4 months postoperatively, he passed away from hospital-acquired pneumonia on a rehabilitation ward.
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Base de dados:
MEDLINE
Assunto principal:
Pneumotórax
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Síndrome do Desconforto Respiratório
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Acidentes por Quedas
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Cavidade Pleural
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Hérnia Diafragmática Traumática
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Perfuração Intestinal
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Divertículo Ileal
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article