Complications of Diaphragmatic Hernia

Brindley, G. V.

doi:10.1001/archsurg.1960.01300040066011

Cited by 10 publications

(2 citation statements)

References 3 publications

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“…Diaphragmatic hernia is often asymptomatic or produces only mild symptoms; however, it may lead to serious complications associated with considerable morbidity and possible fatality, such as intestinal occlusion by incarceration and perforation of the bowel into the thorax, pancreatitis owing to strangled pancreas, rupture of spleen owing to splenic commitment, pneumothorax, superior vena cava syndrome and cardiac arrest. 1 …”

Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

et al. 2016

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In this case report, we describe a rare case of spontaneous diaphragmatic hernia with perforation of the incarcerated ascending colon and subsequent formation of tension pneumothorax. A 73-year-old male with a past medical history of chronic right pleural effusion, restrictive ventilatory impairment and hypertension presented to us for evaluation of severe right chest pain of few days’ duration and severe dyspnoea. The chest radiograph revealed the presence of a loop of bowel in the basal right hemithorax with associated air/fluid levels. A CT scan of the chest confirmed the hydropneumothorax and revealed a right lower lobe ipo-expansion and a flogistic lung consolidation. After surgery, the patient underwent a contrast-enhanced CT scan of the chest, which showed no abnormal findings.

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Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

et al. 2016

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“…11 Diaphragmatic hernia is often asymptomatic or produces only mild symptoms; however, it may lead to serious complications associated with considerable morbidity and possible fatality, such as intestinal occlusion by incarceration and perforation of the bowel into the thorax, pancreatitis owing to strangled pancreas, rupture of spleen owing to splenic commitment, pneumothorax, superior vena cava syndrome and cardiac arrest. 12 The characteristic clinical features of a diaphragmatic hernia are thoracic and abdominal pain, dyspnoea, nausea and vomiting. 13 Clinically, diaphragmatic rupture has 3 phases according to the interval between injury and diagnosis: the initial or acute phase, the interval phase and the obstructive or late phase.…”

Section: Casementioning

confidence: 99%

Thoraco-laparoscopic management of diaphragmatic hernia of adults: a case series

et al. 2020

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Diaphragmatic hernia (DH) usually occurs in childhood; however, in adult it is uncommon. Most common aetiology of DH in adult is trauma while spontaneous DH is a rare entity accounting for <1%. The management is primarily surgical repair in the form of open or laparoscopic approach; the later has been associated with low morbidity, mortality and excellent long term outcomes with low rate of recurrence. In this case series, confirmation of the diagnosis was done by CT scan and by laparoscopy in all the patients; laparoscopic repair was performed in all the patients along with thoracoscopic aid in two cases. We found that minimal access techniques can be safely done in DH; in conditions when the herniated content are difficult to get reduced laparoscopically alone, a simultaneous thoracoscopy has helped in great deal in reducing the content and completing the procedure entirely by minimal access techniques. This gives all the advantages of minimally invasive approach like less postoperative pain, shorter hospital stay, quicker recovery and low recurrence rate; provided tissue repair is done in tension free manner by an experienced laparoscopic surgeon.

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Gastric Ulcer in Hiatal Hernia

Ochsner¹

1961

JAMA

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In a study of 1,212 hiatal hernias, gastric ulcer was identified in the herniated segment of the stomach in 15 patients. This complication is a serious one that should be looked for in every patient with a hiatal hernia. Adequate radiologic examination is important. This includes careful fluoroscopic study with the patient in erect and supine positions, and multiple radiographs of the herniated segment in barium-filled and air-contrast phases. Cooperative effort with an endoscopist is helpful in diagnosis. Treatment requires judicious therapy, repair of the hiatal hernia, and surgical excision.

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Complications of Diaphragmatic Hernia

Cited by 10 publications

References 3 publications

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

Thoraco-laparoscopic management of diaphragmatic hernia of adults: a case series

Gastric Ulcer in Hiatal Hernia

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