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Ruptured hemidiaphragm after bilateral lung transplantation

Published online by Cambridge University Press:  16 August 2006

J. Gómez-Arnau
Affiliation:
Servicios de Anestesiología-Reanimación, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain Present address: Department of Anaesthesiology and Critical Care, Fundación Hospital Alcorcón, Madrid.
N. Novoa
Affiliation:
Cirugía Torácica, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain
M. G. Isidro
Affiliation:
Radiologia, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain
A. Plaza
Affiliation:
Servicios de Anestesiología-Reanimación, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain
F. Galindo
Affiliation:
Servicios de Anestesiología-Reanimación, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain
C. Ezquerro
Affiliation:
Servicios de Anestesiología-Reanimación, Hospital Puerta de Hierro, San Martín de Porres, 4, 28035 Madrid, Spain
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Abstract

A case of right hemidiaphragm rupture and abdominal herniation into the thorax occurring during the immediate post-operative course of double-lung transplantation is reported. This complication has not been reported previously. We examine the possible aetiology and suggest that the direct cause could be an increase in intra-abdominal pressure during chest physiotherapy.

Type
Case Report
Copyright
1999 European Society of Anaesthesiology

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