06/07/2026
اصلاح حاله نادره لفتق فى الحجاب الحاجز نتيجة حادث طريق منذ ٤ سنوات لمريض أجنبى عن طريق المنظار الجراحى
Our story started when steven 52 years old british male patient came to the ER of AMC hospital
He presented with acute progressive vomiting since 6 days associated with upper abdominal pain which lead to poor oral intake
The Patient denied any other symptoms
The patient had past history of chest trauma with fracture rib since 4 years
By examination patient looks pale
X ray abdomen done showed: diaphragmatic hernia eventration with obstructed bowel loop ?? for CT abdomen and chest
1-Gastroscopy was done first showing full stomach dilated with fluids and food residue with no exite >>> aspiration done 1500 cc
2- laparoscopic exploration done and there was large diaphrgmatic hernia with herniation of most of the stomach and massive adhesions at the chest cavity >>>
• Dissection of adhesion of the stomach
• Identification of hernia sac, dissection of the stomach and omentum from the sac by ligasure
• diaphrgmatic defect repaired and stomach reducted into the abdomen was done by laparoscope
• Good wash hemostasis and Drain inserted under the liver
The patient now is fully conscious, vitally stable and has good general condition
He feels grateful and discharged after his medical condition improved
Dr Mahmoud edress Consultant of GIT surgery and laparoscope
☎️ +20 11 24025924
