[14, 15]. The majority of these

defects can be repaired BTK inhibitor safely with non-absorbable sutures without the need for a prosthetic mesh [21, 28]. With an increase in the number of laparoscopic surgery performed, it is likely that this complication will increase. It is therefore important that surgeons be aware of this potentially serious complication by looking to the diaphragm in the end of each surgical procedure [29] Conclusion Iatrogenic herniation of abdominal contents after laparoscopic fenestration of liver cyst is a rare complication. Iatrogenic diaphragmatic injury can be missed during surgery. Surgeon must take precaution to avoid it by precise dissection when using the instruments during surgery. The incidence of iatrogenic diaphragmatic hernia after surgery may be reduced if a final look of diaphragm is systematically realized at the end of each laparoscopic operation. Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. References 1. Fabiani P, Mazza D, Toouli J, Bartels AM, Gugenheim J, Mouiel J: Laparoscopic fenestration

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