Diaphragmatic rupture due to massive gastric volvulus after robotic-assisted diaphragm plication

J Surg Case Rep. 2024 Sep 11;2024(9):rjae546. doi: 10.1093/jscr/rjae546. eCollection 2024 Sep.

Abstract

Gastric volvulus has been rarely associated with diaphragmatic paralysis or eventration. In this article, we present the case of a patient with idiopathic paralysis of the left hemidiaphragm that underwent treatment with a robotic thoracoscopic diaphragm plication, which was complicated by massive gastric volvulus resulting in such significant intra-abdominal hypertension that the ipsilateral diaphragm ruptured anterior to the plication suture line.

Keywords: diaphragm plication; eventration; gastric volvulus.

Publication types

  • Case Reports