RESUMEN

Intra-thoracic migration of a gallstone spilled during laparoscopic cholecystectomy is an extremely rare complication. This is a video documenting the successful thoracoscopic management of a patient who presented with this entity.

RESUMEN

We report a 59-year-old man who presented with progressive dyspnea of 30 years. His pulmonary function tests showed reduced forced expiratory volume in the first second and forced vital capacity and computed tomography of the chest showed eventration of the left hemi-diaphragm. He underwent successful laparoscopic stapled resection / plication of the lax hemi-diaphragm. He was discharged on the fourth postoperative day with the intercostal drain in situ and this was removed 5 days later at follow up. Postoperatively the pulmonary function showed significant improvement and he remains well 2 years after surgery.

Asunto(s)

Eventración Diafragmática , Laparoscopía , Adulto , Diafragma , Disnea , Volumen Espiratorio Forzado , Humanos , Masculino , Persona de Mediana Edad

RESUMEN

Transmesocolic and transomental hernias (TOHs) are rare types of internal hernia. Both these hernias occurring concurrently in a patient are even rarer. We report a patient with signs of recurrent small-bowel obstruction who was found to have a dual transmesocolic, TOH. Computed tomography imaging and subsequent laparoscopic exploration identified small-bowel loops passing through a defect in the transverse mesocolon behind the stomach to emerge through the gastrohepatic omentum. This was treated successfully by laparoscopy. To the best of our knowledge, this is the first reported case of a combined transmesocolic, TOH undergoing successful laparoscopic repair.