Traumatic diaphragmatic hernia into the pericardium

Robb, Douglas

doi:10.1002/bjs.18005022418

Cited by 24 publications

(5 citation statements)

References 5 publications

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“…Robb, Pollock, and Seright (1966) reported two fatalities due to strangulation through an undiagnosed diaphragmatic tear. Both patients had had a laparotomy, one with a splenectomy and the other with repair of a ruptured liver.…”

Section: Complicationsmentioning

confidence: 99%

Strangulated diaphragmatic hernia

Hoffman

1968

Thorax

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Section: Complicationsmentioning

confidence: 99%

Strangulated diaphragmatic hernia

Hoffman

1968

Thorax

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“…When the pericardium was incised, the true nature of the defect was revealed. In Robb's (1963) case, in a man who had been injured 23 years previously, a left thoracotomy showed no abnormality. A right thoracotomy was undertaken two months later when the stomach was observed through the right pleuropericardium.…”

Section: Discussionmentioning

confidence: 88%

Pericardial rupture from blunt chest trauma

Borrie¹,

Lichter²

1974

Thorax

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“…:::::i:··i· ····i i:· aiieil······· ··::::c·i.li,;;,l i: & Simpson, 1950;Probert & Harvard, 1961). Robb (1963) reviewed five cases of traumatic diaphragmatic hernia involving the pericardium; of these only two were confined to the pericardium. The case he added was a purely intrapericardial hernia, as was that described by Herman & Goldstein (1965) and Nelson (1966).…”

Section: Discussionmentioning

confidence: 99%

Traumatic herniation into the pericardial sac

Davis

1968

Postgraduate Medical Journal

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On admission. Preliminary examination showed that he had a fractured right clavicle, fractured pelvis and injuries to the chest wall anteriorly. Surgical emphysema was palpated over the front of his chest and an immediate chest X-ray showed evidence of pulmonary contusion. About 4 hr later another chest X-ray ( Fig. 1) was taken because of increasing dyspnoea. This showed a pneumothorax on the left side and a gas shadow above the diaphragm.The next day further views of the chest (Figs. 2 and 3) and a gastrografin swallow were performed. The impression gained was that the bowel, probably colon, was situated in the anterior mediastinum, possibly in the pericardium. On this day the patient complained of increasing upper abdominal pain, and an electrocardiogram showed a sinus tachycardia of 140/min. Laparotomy was performed through a midline epigastric incision and a dilated loop of transverse colon was found lying in front of and above the liver. This was withdrawn easily and revealed a large transverse tear in the central tendon of the diaphragm leading directly into the pericardial cavity. The tear was between 4 and 5 in. long and the margins, which were ragged, were stretched apart. There was no hernial sac. Access from below was inadequate to allow a satisfactory repair so a left thoracotomy was performed through the fifth intercostal space and the peri-*Present address: Liandough Hospital, Cardiff.cardial sac was opened. With retraction of the lower border of the heart this gave good ex-

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Traumatic diaphragmatic hernia into the pericardium

Cited by 24 publications

References 5 publications

Strangulated diaphragmatic hernia

Strangulated diaphragmatic hernia

Pericardial rupture from blunt chest trauma

Traumatic herniation into the pericardial sac

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