Complications of XXXX in the adult. Report of two cases and literature review.

@entity1 @entity662 @entity1143 @entity2914 @entity397 @entity1744
The literature on incarceration in @entity2914 in adults is rather limited. Our purpose is to present two cases of this lesion that were treated surgically in the past ten years. The first @entity1 , a 32 year old female was admitted in shock with an 8h history of left @entity662 and dyspnoea. Chest X-ray showed a @entity1143 in the left hemithorax. Chest tube drainage revealed gastric fluid. We operated on her immediately, through a left thoracotomy, and found @entity397 of the stomach into the left @entity1143 . Strangulation of the fundus of the stomach due to @entity2914 , Bochdalek's type, was found to be the cause of the @entity397 . We performed resection of the gangrenous segment of the stomach with primary closure. The second @entity1 a 48 year old @entity1 was admitted with symptoms of @entity1744 . Per os gastrographin study showed the splenic flexure herniated into the left hemithorax. At the operation, through a paramedian left incision, the herniated large bowel was reduced back into the abdomen. In both cases the defect of the left hemidiaphragm was sutured with interrupted silk sutures. Both @entity1 had an uneventful postoperative course. The diagnosis of @entity2914 in the adult is usually made in case of complications, and that demands an immediate surgical repair.
