Post-Traumatic Diaphragmatic Hernia

Hajong, Ranendra; Baruah, Arup Jyoti

doi:10.1007/s12262-012-0418-7

Cited by 10 publications

(8 citation statements)

References 4 publications

(4 reference statements)

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“…Diaphragmatic rupture may result in traumatic diaphragmatic hernia in less than 50% of diaphragmatic injuries. Incidence is more in males than in females 5 . Traumatic diaphragmatic rupture or hernia occurs in 5% with blunt abdominal trauma due to motor vehicle accidents 6 .…”

Section: Discussionmentioning

confidence: 99%

Traumatic Diaphragmatic Hernia in a 40-Year-Old Lady after 34 Years of Trauma

Ahmed¹,

Afzal²,

Jamaluddin³

2018

ashkmdc

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The diaphragm is a sheath made of muscle and tendon that separates the thoracic cavity from the ab- dominal cavity. A diaphragmatic hernia is the protrusion of intra-abdominal contents through an abnormal opening in the diaphragm. Acquired diaphragmatic tears are rare and occur mainly due to direct penetrating injury to the diaphragm or, less commonly, secondary to blunt abdominal trauma, causing her- niation of the abdominal contents into the thorax resulting in a condition known as post-traumatic diaphragmatic hernia. Signs and symptoms include orthopnea, dyspnea, diminished breath sounds on the side of the rupture and audible gut sounds in the chest. We report a case of a 40-year-old woman with a 34-year-old history of an unmanaged road traffic accident who presented with a complain of gradual in onset shortness of breath, which when approached surgically, revealed to be due to an absent left sided diaphragm. Upon diagnosis, successful primary hernia mesh repair was performed.

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Section: Discussionmentioning

confidence: 99%

Traumatic Diaphragmatic Hernia in a 40-Year-Old Lady after 34 Years of Trauma

Ahmed¹,

Afzal²,

Jamaluddin³

2018

ashkmdc

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“…[5] the important signs are sharp discontinuation of the diaphragm, intrathoracic visceral herniation, lack of visualization of the diaphragm (absent diaphragm sign), and constriction of bowel or stomach at the site of herniation (collar sign). [6,7,8] Thoracotomy (if required, extended into a thoracoabdominal incision) is advised in the patients with delayed presentation since the adhesions within the chest can be freed easily and reduction and repair of hernia will be easily accomplished.…”

Section: Figure 1 the Great Omentum In The Thoracic Cavity (Sagital View)mentioning

confidence: 99%

Diaphragmatic Hernia with very late presentation after Penetrating Trauma: A case reports.

Skenduli¹,

Caushi²,

Mezini³

et al. 2022

AJTES

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Blunt traumatic rupture of the diaphragm is a serious injury that is often difficult to diagnose. [1] Diaphragmatic injuries were described first by Sennertus in 1541. Riolfi performed the first successful repair in 1886. In 1951, Carter published the first case series, was this injury well understood and delineated. [2] Approximately 0.8%-1.6% of patients with blunt trauma show a rupture in the diaphragm. (3) Blunt trauma accounts for 75% of ruptures and penetrating trauma accounts for the rest. Approximately 69% of hernias are left-sided, 24% are right-sided, and 15% are bilateral. [3] The occult diaphragmatic injury was uncovered in a patient who has blunt chest trauma, after penetrating trauma. Diaphragmatic injury can be a difficult diagnosis in the setting of trauma and a significant number of injuries are missed on the initial presentation. We will be reporting a 56-year-old female who was admitted to our hospital with a history of cough, pain in the left chest as well as breathlessness of five days duration. She had a history of blunt trauma caused by an accidental gunshot in 1987…

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“…If viscera herniated through the acute breach then the patient may present with acute diaphragmatic hernia. Missed Injuries sometimes present later as chronic diaphragmatic hernia, with obstruction or strangulation of intra-abdominal organs [7]. Patients who presented with TDI following blunt abdominal trauma are resuscitated according to ATLS principles.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Diaphragmatic Hernia: Management and Review

Kumari¹

2021

J Sur Anesth Res

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Traumatic diaphragmatic injury (TDI) is a fairly uncommon with incidence of 0.8 and 1.6 %, commonest fallowing blunt trauma abdomen. Right-side have higher mortality rate compared to left side and penetrating injuries. It present as occult to obvious. Laparoscopy offers diagnostic and therapeutic tool of care. Lack of awareness of the condition may delay in diagnosis, results life threatening complications. Missed hernia is a known complication of blunt trauma as acute diagnosis can be difficult to ascertain. An early diagnosis and treatment lead to better outcome. In present study CECT revealed acute diaphragmatic hernia, bilateral pleural effusion and hair line fracture of right tibia on skiagram limb. Because of uncertainty in diagnosis of acute diaphragmatic hernia or rupture surgeons faces challenges for the management, high suspicion index required to diagnose the cases. An early diagnosis and treatment lead to better outcome

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Post-Traumatic Diaphragmatic Hernia

Cited by 10 publications

References 4 publications

Traumatic Diaphragmatic Hernia in a 40-Year-Old Lady after 34 Years of Trauma

Traumatic Diaphragmatic Hernia in a 40-Year-Old Lady after 34 Years of Trauma

Diaphragmatic Hernia with very late presentation after Penetrating Trauma: A case reports.

Traumatic Diaphragmatic Hernia: Management and Review

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