Publications by authors named "Hideto Shiraki"
Article Synopsis
- A 70-year-old man who had esophageal cancer surgery 5 years ago began experiencing abdominal fullness, left chest pain, and vomiting, leading to a hospital visit.
- A CT scan revealed a postoperative hiatal hernia, and emergency laparoscopic surgery was performed, showing the transverse colon had prolapsed into the chest cavity but showed no signs of necrosis.
- Factors contributing to the hernia included increased bowel motility and decreased adhesion formation from the minimally invasive surgery; it's advised that conduit fixation to the diaphragm be considered to prevent future herniation.
Background: Anticoagulant therapy for patients with severe coronavirus disease (COVID-19) pneumonia is considered to improve the hypercoagulable and inflammatory state. However, bleeding complications should also be considered.
Case Presentation: A 77-year-old man with a history of falls was diagnosed with COVID-19.