Keywords
Adult hernia; Congenital diaphragmatic hernia; Diaphragmatic hernia; Enterothorax; Intrathoracic appendicitis; Paraesophageal hiatal hernias
Abstract
The authors describe the case of intrathoracic appendiceal abscess associated with right diaphragmatic hernia (hiatal hernia) discovered in a 52 years old woman. The surgical treatment consisted of conventional laparotomy appendectomy after reduction of paraoesophagal hernia into the abdominal cavity in the first time. In second time, we realised a pleural decortication using esophageal hiatus like an uniportal video-assisted thoracic surgery and at the end, reparation of paraoesophagal hernia. The clinical course was satisfactory. A review of the literature allowed us to understand and discuss the diagnostic and surgical approches of this association of two pathologicals entities, benign and anodyne in its isolated and uncomplicated clinical forms. The available literature on intrathoracic appendicitis is reviewed.
Citation
Razafimanjato NNM, Ravoatrarilandy M, Hunald FA, Samison LH and Rakotovao HJL. Surgical Management with a Single Operation of Intrathoracic Appendicular Abscess : A Clinical Observation and Literature Review. SM J Case Rep. 2017; 3(8): 1072.