Korean J Thorac Cardiovasc Surg.  2001 Dec;34(12):968-971.

Diaphragmatic Hernia as a Complication of Pedicled Omentoplasty

• Yun CS
• Jung JI
• Kim JW
• Ku BI
• Lee HS

Abstract

Pedicled omentoplasty is effective in thoracic surgery, but it is associated with several postoperative complications. A case of diaphragmatic hernia as a complication of pedicled omentoplasty in a 65-year-old male is reported. Because aortoesophageal fistula occurred three months after the patch aortoplasty for mycotic aneurysm of descending thoracic aorta, he underwent ascending thoracic aorta to abdominal aorta bypass surgery with resection of thoracic aortic aneurysm and esophagorrhaphy with wrapping of the esophageal suture line and the stumps of aorta with pedicled omental flap. Three years after the operation, herniation of the stomach developed. The pedicled omental flap was ligated and divided, and the diaphragm defect was repaired.

Keyword

Hernia diaphragmatic; Omental flap; Surgical flaps

MeSH Terms

Aged
Aneurysm, Infected
Aorta
Aorta, Abdominal
Aorta, Thoracic
Aortic Aneurysm, Thoracic
Diaphragm
Fistula
Hernia, Diaphragmatic*
Humans
Male
Postoperative Complications
Stomach
Surgical Flaps
Sutures
Thoracic Surgery