A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome

Case Reports in Surgery
Konstantinos BouchagierPanagiotis Skandalakis

Abstract

Laparoscopic cholecystectomy is considered as the gold standard in the treatment of gallbladder disease. Laparoscopy presents significant advantages including decreased hospital stay, better aesthetic results, faster rehabilitation, less pain, reduced cost, and increased patient satisfaction. The complications' prevalence is low; however, the overall serious complication rate seems to be higher compared to open cholecystectomy, despite the increasing experience. Diaphragmatic injury following laparoscopic cholecystectomy is an extremely rare complication, and a high index of clinical suspicion is necessary to diagnose this situation that has a variety of clinical presentations and might be life-threatening. We present a unique case of postlaparoscopic cholecystectomy diaphragm defect with late onset. The clinical findings included those of respiratory distress syndrome along with small bowel incarceration and peritonitis.

References

May 1, 1986·The Journal of Trauma·G Rodriguez-MoralesC H Shatney
Aug 3, 1999·Surgical Endoscopy·P A ArmstrongG R Brown
Sep 27, 2005·Journal of the American College of Surgeons·Steven M Strasberg
Sep 15, 2007·Gastroenterology·Charles M Vollmer, Mark P Callery
Mar 5, 2016·Surgical Case Reports·Motonobu WatanabeNobuhiro Ohkohchi
Oct 19, 2016·International Journal of Surgery Case Reports·Metin ErcanMusa Akoğlu

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Citations

Feb 20, 2019·Journal of Minimal Access Surgery·Kishore G S BharathySadiq S Sikora

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Methods Mentioned

BETA
X-ray

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