Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

Wani, Abdul Majid; Qurashi, Turki A. Al; Rehman, Saif; Harbi, Zeyad S Al; Sabbag, Abdul Rehman Y; Ahdal, Mohd Al

doi:10.1136/bcr.04.2010.2874

Cited by 6 publications

(5 citation statements)

References 12 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In one case, hematemesis was observed due to the bleeding of a herniated gastric fundus. In another case, splenic vein thrombus was observed [ 8 ]. Studies indicate that approximately 12–69% of cases are missed preoperatively [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Faecopneumothorax due to missing diaphragmatic hernia: a case report

Nusretoğlu

Dönder

2021

J Med Case Reports

View full text Add to dashboard Cite

Background Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Case presentation A 54-year-old Turkish male patient admitted to the emergency department with abdominal pain and dyspnea ongoing for 2 days. He had general abdominal tenderness in all quadrants. He had a history of a stabbing incident in his left subcostal region 3 months ago without any pathological findings in thoracoabdominal computed tomography scan. New thoracoabdominal computed tomography showed a diaphragmatic hernia and fluid in the hernia sac. Due to respiratory distress and general abdominal tenderness, the decision to perform an emergency laparotomy was made. There was a 6 cm defect in the diaphragm. There were also necrotic fluids and stool in the hernia sac in the thorax colon resection, and an anastomosis was performed. The defect in the diaphragm was sutured. The oral regimen was started, and when it was tolerated, the regimen was gradually increased. The patient was discharged on the postoperative 11th day. Conclusions Acquired diaphragmatic hernia may be asymptomatic or may present with complications leading to sepsis. In this report, acquired diaphragmatic hernia and associated colonic perforation of a patient with a history of stab wounds was presented.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In another case, splenic vein thrombus was observed [ 8 ]. Studies indicate that approximately 12–69% of cases are missed preoperatively [ 8 ]. In suspected cases, the diagnosis is initially confirmed by chest X-ray, and then tomography, if necessary [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Faecopneumothorax due to missing diaphragmatic hernia: a case report

Nusretoğlu

Dönder

2021

J Med Case Reports

View full text Add to dashboard Cite

show abstract

“…Though cases of significantly delayed haematemesis following traumatic diaphragmatic hernia have been described [ 2 , 3 ], the presentation of massive haematemesis beyond 48 h following thoracoabdominal stab injury with gastric laceration is rare.…”

Section: Discussionmentioning

confidence: 99%

An unusually delayed presentation of massive haematemesis following stab injury to the chest

Adesuyi

Situ

2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Penetrating thoracoabdominal injury is a common presentation in the trauma resuscitation room with the possibility of a myriad of injuries which may involve thoracic and abdominal viscera. Management is usually operative however non-operative management is a possibility especially following knife stab injuries when compared with gunshot injuries. Clinical presentation will depend on the injured organ, extent of injury and time from injury to presentation. Unusual presentation of delayed haematemesis is a possibility with injury to the stomach, however, due to its rarity, a high index of suspicion with emergency surgery will help to mitigate the fatal consequences that may follow. This type of presentation is not documented in the available on-line literature which portends the importance of this paper. This case highlights the possibility of this clinical presentation and importance of early management to improve patient outcome.

show abstract

“…Diaphragmatic ruptures are uncommon and occur in 0.8%-5% of blunt abdominal trauma, with up to 30% of cases presenting with delayed symptoms. 1,2 The timeframe from injury to presentation ranges from days to years after the inciting event, with the longest reported delay being 50 years. 3 Sensitivities of X-ray alone for diaphragm injury without herniation is 25%-50%.…”

Section: Discussionmentioning

confidence: 99%