scholarly journals Late Onset Traumatic Diaphragmatic Herniation Leading to Intestinal Obstruction and Pancreatitis: Two Separate Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Tolga Dinc ◽  
Selami Ilgaz Kayilioglu ◽  
Faruk Coskun
Keyword(s):  
Acute Pancreatitis ◽  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Chest Trauma ◽  
Late Onset ◽  
Penetrating Trauma ◽  
The Other ◽  
Trauma Patients ◽  
Traumatic Diaphragmatic Hernia ◽  
Diaphragmatic Herniation

Although diaphragmatic injuries caused by blunt or penetrating trauma are rare entities, they are the most commonly misdiagnosed injuries in trauma patients and occur in approximately 3–7% of all abdominal or thoracic traumas. Acute pancreatitis secondary to late presenting diaphragmatic hernia is very rare. Here we present two separate cases: one with acute bowel obstruction and the other with acute pancreatitis secondary to late onset traumatic diaphragmatic hernia (three and twenty-eight years after chest trauma, resp.).

scholarly journals Late-onset traumatic diaphragmatic hernia associated with acute pancreatitis

Medicine ◽  
2020 ◽  
Vol 99 (41) ◽  
pp. e22482
Author(s):  
Yongkang Lai ◽  
Chen Yu ◽  
Yin Zhu ◽  
Xiaolin Pan
Keyword(s):  
Acute Pancreatitis ◽  
Diaphragmatic Hernia ◽  
Late Onset ◽  
Traumatic Diaphragmatic Hernia

scholarly journals Traumatic diaphragmatic hernia: 28-years analysis at a Brazilian university hospital

2020 ◽  
Author(s):  
Vitor Kruger ◽  
Thiago Calderan ◽  
Rodrigo Carvalho ◽  
Elcio Hirano ◽  
Gustavo Fraga
Keyword(s):  
Diaphragmatic Hernia ◽  
Chest Radiography ◽  
Motor Vehicle ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Common Mechanism ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Abdominal Injuries ◽  
Traumatic Diaphragmatic Hernia

Abstract Background The objective of the study is evaluate the approach to patients with acute traumatic diaphragmatic hernia at a Brazilian university hospital during a 28-year period. Traumatic diaphragmatic hernia is an uncommon injury, however its real incidence may be higher than expected. Sometimes is missed in trauma patients, and is usually associated with significant morbidity and mortality, this analysis may improve outcomes for the trauma patient care.Methods Retrospective study of time series using and analisys database records of trauma patients at HC- Unicamp was performed to investigate the incidence, trauma mechanism, diagnosis, herniated organs, associated injuries, trauma score, morbidity, and mortality of this injury.Results Fifty-five cases were analyzed. Blunt trauma was two-fold frequent than penetrating trauma, are associated with high grade injury and motor vehicle collision was the most common mechanism. Left side hernia was four-fold frequent than right side. Diagnose was mostly performed by chest radiography (31 cases; 56%). Associated intra-abdominal injuries were found in 37 patients (67.3%) and extra-abdominal injuries in 35 cases (63.6%). The mortality was 20% (11 cases).Conclusions Computed tomography scan identified associated injuries and had high specificity. Isolated injuries were rare, and the presence of associated injuries increased morbidity and mortality. Despite advances in imaging methods, chest radiography in the trauma bay is useful as an initial approach. Despite the use of laparoscopy in a few cases, laparotomy was the most frequent approach for repair.

scholarly journals Interval between injection of contrast material and positive contrast cheliography affects accurate diagnosis of diaphragmatic hernia

2015 ◽  
Vol 84 (2) ◽  
pp. 173-179
Author(s):  
Ismail A. Sen ◽  
M. Baris Akgul ◽  
Nihal Y. Gul Satar ◽  
Ayse Topal
Keyword(s):  
Diaphragmatic Hernia ◽  
Contrast Material ◽  
Positive Contrast ◽  
Early Postoperative Period ◽  
Trauma Patients ◽  
Thoracic Cavity ◽  
Abdominal Radiography ◽  
Acute Trauma ◽  
Traumatic Diaphragmatic Hernia ◽  
Thoracic And Abdominal

The aim of this study was to evaluate the clinical, surgical and diagnostic imaging findings in 11 cats and 3 dogs with suspected acute and chronic traumatic diaphragmatic hernia, and to compare the results of positive contrast cheliography (peritoneography) taken immediately and 5 min after the injection of contrast material. Thoracic and abdominal radiography, ultrasonography, and positive contrast cheliography of all animals were performed. Eight cases were considered as acute and six cases were considered chronic. The contrast images taken immediately after the injection of contrast material revealed the contrast material in the thoracic cavity in 8/8 acute trauma patients, but in none of the chronic cases. In 5/6 of these cases contrast material was seen in the thoracal cavity only in additional images taken after 5 min. One patient was diagnosed with FIP and excluded from the study. Twelve cases had complete resolution and one animal died during the early postoperative period. Our results suggest that positive contrast cheliography performed immediately after the injection of contrast material may not reveal chronic cases of diaphragmatic hernia and a second imaging (or imaging after 5 min) is indicated in order not to overlook chronic cases.

scholarly journals A CASE OF TRAUMATIC DIAPHRAGMATIC HERNIA PRESENTED WITH INTESTINAL OBSTRUCTION DUE TO INTESTINAL NECROSIS

1999 ◽  
Vol 60 (6) ◽  
pp. 1514-1518
Author(s):  
Katsuhide SANO ◽  
Kazuo TANAKA ◽  
Fumiaki YANO ◽  
Haruhisa KURODA ◽  
Yoichi OHIRA ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Traumatic Diaphragmatic Hernia ◽  
Intestinal Necrosis

scholarly journals Traumatic Diaphragmatic Hernia

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Nurashidah Musa ◽  
Ruben Gregory Xavier
Keyword(s):  
Respiratory Distress ◽  
Diaphragmatic Hernia ◽  
Left Lung ◽  
Penetrating Trauma ◽  
Exploratory Laparotomy ◽  
Left Lobe ◽  
Falciform Ligament ◽  
Left Hemithorax ◽  
Traumatic Diaphragmatic Hernia ◽  
Abdominal Symptoms

Traumatic diaphragmatic hernia (TDH) is uncommon and it can be a result from both blunt and penetrating trauma. About to 1% to 7% of patients with blunt trauma sustained TDH. Left sided traumatic diaphragmatic hernia are much common compared to right side.TDH can present acutely or delayed with signs of respiratory distress of intestinal obstruction. The diagnosis was made with the aid of chest radiograph and computed topography (CT) abdomen. A coiled nasogastric tube within the hemithorax is a pathognomonic for TDH. We are presenting a case of high impact injury resulting in a TDH in a 19-year-old, malay male with unsure mechanism injury. He presented with generalised abdominal pain and in respiratory distress with a clinical evidence of abdominal tenderness and type 1 respiratory failure. Subsequently, he underwent exploratory laparotomy and repair of left diaphragmatic hernia. Intraoperatively, noted large linear tear of left hemidiaphragm posterolaterally extending medially until the insertion of falciform ligament. Stomach, left lobe of liver, spleen and splenic flexure of colon were herniated into the left hemithorax. The left diaphragmatic tear was repaired in 2 layers using prolene. A left subdiaphgramatic drain and a chest tube were inserted. Post operatively, the patient was nursed in ICU and recovered well. Repeated chest x -ray showed left lung was fully expanded. With aggressive chest physiotherapy and incentive spirometry, he recovered well and was discharged home. In trauma, there should be a high index of suspicion in patients with both respiratory and abdominal symptoms. Conclusion: Prompt recognition and early definitive management can improve patient outcomes.

scholarly journals Traumatic diaphragmatic hernia complicating pregnancy

2018 ◽  
Vol 23 (2) ◽  
pp. 83-85
Author(s):  
Brightson N. Mutseyekwa ◽  
Mordecai Sachikonye ◽  
Lameck Chiwaka ◽  
Netsai C. Changata
Keyword(s):  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Large Bowel ◽  
Transverse Colon ◽  
Signs And Symptoms ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Traumatic Diaphragmatic Hernia ◽  
Foetal Mortality ◽  
In Pregnancy

Intestinal obstruction in pregnancy is rare but has a high maternal and foetal mortality. We present a case of 32-year-old patient who presented in her 2nd trimester of pregnancy with signs and symptoms of large bowel obstruction. An exploratory laparotomy revealed that the transverse colon had herniated through a diaphragmatic tear as the cause of the intestinal obstruction. The delays in presentation and diagnostic dilemmas associated with intestinal obstruction in pregnancy are manifested in this case. Keywords: intestinal obstruction; pregnancy; diaphragmatic hernia 

scholarly journals Strangulated Diaphragmatic Hernia in an Elderly Man

2021 ◽  
Vol 16 (1) ◽  
pp. 283-287
Author(s):  
Firdaus Hayati ◽  
Keyword(s):  
Intestinal Obstruction ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Late Onset ◽  
Acute Intestinal Obstruction ◽  
Bowel Habit ◽  
Bowel Sound ◽  
Palpable Mass ◽  
History Of ◽  
Right Diaphragmatic Hernia

A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal obstruction with a background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination revealed a distended abdomen with high pitched bowel sound and no palpable mass. The right lung was inaudible on auscultation. Computed tomography scan was consistent with a right diaphragmatic hernia and acute intestinal obstruction. We highlight the late onset of a congenital diaphragmatic hernia and emphasize the vital need for perioperative management to ensure a promising surgical outcome.

scholarly journals Surgical Management of Traumatic Diaphragmatic Hernia: a Single Institutional Experience of More Than Two Decades.

2020 ◽  
Author(s):  
Xicheng Deng ◽  
Zuosheng Deng ◽  
Erjia Huang
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Surgical Management ◽  
Diaphragmatic Hernia ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Penetrating Trauma ◽  
Traumatic Diaphragmatic Hernia ◽  
Risk Of Death ◽  
Severity Scores

Abstract Background: We present here our experience with surgical management of traumatic diaphragmatic hernia, trying to find out the era impact of different periods on the outcome and risk factors of mortality. Methods: A series of 63 patients with traumatic diaphragmatic hernia were referred to us and operated on during March, 1990-August, 2017. The patient records were reviewed and statistically analyzed to demonstrate injury characteristics and to find out optimal treatment strategy, risk factors of death as well as the difference between two periods (1990-2005, 2005-2017) divided by introduction of computed tomography at our institution.Results: The overall mean age was 31.2±16.3 years old with a female to male ratio of 11/52. The mechanism was penetrating trauma in 19 cases (30.2%), and blunt trauma in 44 cases (69.9%). Two thirds of the patients in the latter period yet none in the former period underwent computed tomography. Ten patients (15.9%), of which 8 in the former and the other 2 in the latter period (p=.042), had late diagnoses. The most commonly used incision was a thoracotomy (n=43, 89.6%). There was no statistical difference in etiology or mortality between the two periods. Univariate analysis showed survivors were younger, and had lesser injury severity scores (ISS) and lower American Association for the Surgery of Trauma (AAST) grade than nonsurvivors. By multiple logistic regression analysis, increased age (odds ratio, 1.275; p=.013) and greater ISS (OR, 1.174; p=.028) were risk factors of death in all patients.Conclusions: High definition computed tomography has significantly improved the preoperative diagnosis rate. The transthoracic approach could be used in selected cases with traumatic diaphragmatic hernia with good outcomes. Patients with greater ISS and advanced age are at higher risk of death.

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