Traumatic diaphragmatic hernia challenging diagnosis and early management

Abdelshafy, Mohamed; Khalifa, Yusuf S.E.

doi:10.1016/j.jescts.2018.07.001

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Most common complications related to this trauma are bowel obstruction and gastric or intestinal strangulation with ischemia [ 9 ]. Pneumonia has been a complication descript in the post-operative, nonetheless our patient evolved without intercurrences.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic herniation after 3 years of penetrating trauma managed through laparotomy: A case report

Maués¹,

Vasconcelos

Galvão

et al. 2021

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Diaphragmatic herniation after 3 years of penetrating trauma managed through laparotomy: A case report

Maués¹,

Vasconcelos

Galvão

et al. 2021

International Journal of Surgery Case Reports

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“…Male preponderance is generally seen in diaphragmatic hernia. 3,4 Trauma to thoracoabdominal region is the cause of Traumatic Diaphragmatic Hernia (TDH). Traumatic thoracoabdominal injuries often lead to haemodynamic instability, respiratory distress, gastrointestinal symptoms and even cardiac arrest which might be one of the plausible reason of delayed diagnosis of TDH.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Study of Traumatic Diaphragmatic Hernia in Rajasthan

Sharma

Khandla

et al. 2022

JCRAM

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“…The incidence of severe liver injury caused by right-sided TDH and of preoperative shock, are significantly prognostic for mortality. (1,6) On these grounds, diaphragmatic rupture must be suspected in a patient with thoracoabdominal injury. In the chronic phase, the hernia may cause gut obstruction or complications in the respiratory and circulatory systems.…”

Section: Introductionmentioning

confidence: 99%

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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Traumatic diaphragmatic hernia challenging diagnosis and early management

Cited by 8 publications

References 14 publications

Diaphragmatic herniation after 3 years of penetrating trauma managed through laparotomy: A case report

Diaphragmatic herniation after 3 years of penetrating trauma managed through laparotomy: A case report

A Retrospective Study of Traumatic Diaphragmatic Hernia in Rajasthan

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

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