TRAUMATIC RIGHT DIAPHRAGMATIC HERNIA; A DELAYED PRESENTATION
Abstract
Diaphragmatic rupture following blunt or penetrating thoraco-abdominal trauma is frequently missed. It presents years later with herniation of abdominal viscera. Surgical treatment should be sought for when diagnosed. A 56 year old female presented to emergency with traumatic right diaphragmatic hernia, road traffic accident 8 years ago when she sustained multiple rib fractures on the right side. Upon diagnosis, successful primary hernia repair was performed. Non-specific clinical and radiological features of diaphragmatic hernia (diminished breath sounds, respiratory distress, orthopnoea, dyspnoea, hydro-pneumothorax, and mediastinal shift and lung collapse) lead to delayed or missed diagnosis. Patients present months to years later with complications. By including it in the differentials while managing a trauma patient along with collaboration of the radiology department, the chances of missing this finding would be lowered substantially.
Keywords: Diaphragmatic hernia; Trauma; Intestinal obstructionReferences
Viallonga R, Pastor V, Alvarez L, Charco R, Armengol M, Navarro S. Right-side diaphragmatic rupture alter blunt trauma. An Unusual entity. World J Emerg Surg 2011;6:3.
Jadloweic CC, Sakorafas LU. Delayed presentation of traumatic right-sided diaphragmatic hernia after abdominoplasty. Case Rep Surg 2014;2014:949531.
Ebrahimi G, Bloemers FW. A delayed traumatic right diaphragmatic herni with hepatothorax. J Surg Case Rep 2012;2012(1):1.
Goi G, Callegaro D, Villa R, Moroni E, Bondurri A, Danelli P. Large bowel obstruction as a result of occult diaphragmatic hernia 11 years after injury. Ann Ital Chir 2012;83(5):425-8.
Hajong R, Baruah A. Post-traumatic diaphragmatic hernia. Indian J Surg 2012;74(4):334-5.
Kuppusamy A, Ramanathan G, Gurusamy J, Ramamoorthy B, Parasakthi K. Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report. Turk J Trauma Emerg Surg 2012;18(2):175-7.
Magu S, Agarwal S, Jain N, Dalal N. Diaphragmatic hernia mimicking hydropneumothorax: common error in emergency department. BMJ Case Rep 2013;2013.pii:bcr2012008547.
Nalladaru Z, Wessels A. Diaphragmatic hernia masquerading as pleural effusion. Niger J Surg 2012;18(2):94-6.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
