Huge post-traumatic diaphragmatic hernia remained asymptomatic for 14 years. A case report

Chlapoutakis, Serafeim; Vassileiadis, Vassileios

doi:10.1007/s12055-018-0658-7

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…(13) With a left-to-right ratio of around 3:1, blunt TDH is more common on the left side than on the right. (8,13) Multiple factors are thought to contribute to the higher frequency of left-sided TDH: the liver's protective effect on the right side, a congenital embryologic weakness in the posterolateral aspect of the left hemidiaphragm, and the right hemidiaphragm's greater inherent resistance compared to the left. The prevalence of left-sided TDH may also be owing to rightsided TDH being underdiagnosed.…”

Section: Discussionmentioning

confidence: 99%

“…(4,7) Complications, caused by movement of abdominal organs into the chest cavity, may range from herniation and obstruction of hollow organs that are complicated by strangulation and/or perforation of the herniated contents or by laceration of the liver or spleen, to lung consolidation or atelectasis. (5,8) Therefore the diagnosis may be missed during the initial evaluation after the injury.…”

Section: Introductionmentioning

confidence: 99%

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Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Revata¹,

Rahmansyah

2022

Univ Med

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IntroductionTraumatic diaphragmatic hernia (TDH) is uncommon, being encountered in around 0.8%-8% of patients with blunt abdominal trauma. Severe comorbidities such as fractures and thoraco-abdominal or head injuries that accompany TDH, are responsible for poor prognosis and often mask diaphragmatic injury itself. Objective of this case report was to highlight rare blunt TDH case to avoid missed diagnosis leading to complications. Case descriptionSixty seven-year old man presenting with right chest pain without difficulty of breathing after falling from stairs 1 hour before hospital admission. On clinical examination, vitals were stable, but with decreased breath sounds on right lower side of chest. Patient had history of trauma from being crushed by elevator 40 years ago without any proven diaphragmatic injury. Initial erect chest X-ray findings were inhomogeneous opacity shadow on lower right hemithorax suspected to be diaphragmatic hernia and 7th right rib fracture with pleural effusion. Thorax CT scan showed herniated right lobe of liver, gall bladder, and mesenteric fat on right hemithorax causing displacement of mediastinal structures. Patient was diagnosed with delayed TDH and hemothorax caused by newly fractured rib. Patient was referred to a better-equipped facility due to the limited surgical facilities in referring hospital. ConclusionDelayed TDHs are not common, but can lead to serious consequences. Blunt TDH occurs more often on left than on right side, in ratio of approximately 3:1. Traumatic diaphragmatic hernia is sometimes diagnosed many years after traumatic event due to latent phase of disease possibly ranging from days to years.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Revata¹,

Rahmansyah

2022

Univ Med

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“…Therefore, the diagnosis of diaphragmatic involvement will allow surgical resolution by a thoracic [ 11 ] or an abdominal approach [ 12 ] in multidisciplinary care [ 13 ]. It consisted of an abdominal organs reduction and a reinforced diaphragmatic plasty by several sessions of physical rehabilitation and respiratory physiotherapy [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Massive post-traumatic neglicted diaphragmatic hernia revealed by necrotizing pancreatitis, A case report according scare guidelines

Elmir

Noumairi

Jabi

et al. 2021

Annals of Medicine &Amp; Surgery

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Huge post-traumatic diaphragmatic hernia remained asymptomatic for 14 years. A case report

Cited by 2 publications

References 8 publications

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Massive post-traumatic neglicted diaphragmatic hernia revealed by necrotizing pancreatitis, A case report according scare guidelines

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