A 58-year-old male with a history of triple-approach laparoscopic esophagectomy (McKeown) due to distal esophageal adenocarcinoma (ypT3N1M0), who reported 24 h of intense epigastralgia associated with vomiting and dyspnea. Thoracoabdominal CT scan (Fig. 1) revealed a left diaphragmatic hernia measuring 7.5 cm in diameter containing the omentum, intestinal loops and transverse colon (H), causing notable distention of the gastroplasty (G). Urgent laparoscopic surgery was indicated (Fig. 2), with hernia reduction (250 cm of small intestine, transverse colon and gastric antrum) and closure of the pillars with ETHIBOND EXCEL® interrupted stitches coated with polybutilate and gastropexy. Postoperative patient progress was good; the patient presented no complications and was discharged on the 5th day.
Please cite this article as: Casimiro Pérez JA, Fernández Quesada C, Jiménez Díaz L, Acosta Mérida MA. Hernia diafragmática gigante incarcerada postesofaguectomía (McKeown) con dilatación severa de la gastroplastia. Cir Esp. 2020;98:99.
