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

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

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 co...

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Main Authors: Konstantinos Bouchagier, Evangelos Solakis, Serafeim Klimopoulos, Theano Demesticha, Dimitrios Filippou, Panagiotis Skandalakis
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/4165842
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spelling doaj-2977f2a9b4cb43858feb0b51ccdc7f7b2020-11-25T00:42:27ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/41658424165842A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress SyndromeKonstantinos Bouchagier0Evangelos Solakis1Serafeim Klimopoulos2Theano Demesticha3Dimitrios Filippou4Panagiotis Skandalakis52nd Surgical Department of General Hospital Evangelismos, Athens, Greece2nd Surgical Department of General Hospital Evangelismos, Athens, Greece2nd Surgical Department of General Hospital Evangelismos, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceDepartment of Anatomy, Medical School, University of Athens, Athens, GreeceLaparoscopic 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.http://dx.doi.org/10.1155/2018/4165842
collection DOAJ
language English
format Article
sources DOAJ
author Konstantinos Bouchagier
Evangelos Solakis
Serafeim Klimopoulos
Theano Demesticha
Dimitrios Filippou
Panagiotis Skandalakis
spellingShingle Konstantinos Bouchagier
Evangelos Solakis
Serafeim Klimopoulos
Theano Demesticha
Dimitrios Filippou
Panagiotis Skandalakis
A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
Case Reports in Surgery
author_facet Konstantinos Bouchagier
Evangelos Solakis
Serafeim Klimopoulos
Theano Demesticha
Dimitrios Filippou
Panagiotis Skandalakis
author_sort Konstantinos Bouchagier
title A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
title_short A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
title_full A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
title_fullStr A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
title_full_unstemmed A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome
title_sort rare case of iatrogenic diaphragm defect following laparoscopic cholecystectomy presented as acute respiratory distress syndrome
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2018-01-01
description 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.
url http://dx.doi.org/10.1155/2018/4165842
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