Page 45 - World Journal of Laparoscopic Surgery

Laparoscopy in Unusual Abdominal Emergencies: Report and Review

Fig 1: The CECT abdomen shows a hepatic hydatid cyst in segment IV/V (ruptured)

of 1-day duration. He presented outside our hospital and was
resuscitated with iv fluids and two units of packed red blood
cells. His CECT chest and abdomen revealed features of a left
diaphragmatic hernia with stomach herniating into chest –
volvulus (Fig. 3).
He presented to our center and on arrival, his vitals parameters
were within normal limits, on systemic examination he had
reduced breath sounds on the left side, and the rest of the systemic
examination was essentially normal.
We took him for emergency laparoscopy and intraoperative
findings were a large left diaphragmatic hernia with stomach as
content (Fig. 4A). Gastric viability was preserved and underwent
reduction of content, mesh repair of defect with the placement of
left side 28 Fr intercostal drainage (ICD) (Fig. 4B).
Fig. 2: Ruptured hydatid cyst right lobe of the liver He recovered well, started orally on the second postoperative
day, and was discharged on postoperative day 5.

Fig. 3: The CECT chest and abdomen showed a left diaphragmatic hernia with stomach herniating to the chest

44 World Journal of Laparoscopic Surgery, Volume 16 Issue 1 (January–April 2023)