The course of delayed right-sided post-traumatic diaphragmatic hernia with dislocation of the liver into the chest cavity

2020 ◽  
Vol 22 (4) ◽  
pp. 111-116
Author(s):  
D. A. Yasyuchenya ◽  
K. V. Asyamov ◽  
I. I. Dzizawa ◽  
V. V. Salukhov ◽  
A. A. Chugunov ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Abdominal Trauma ◽  
Clinical Case ◽  
Lower Lobe ◽  
Method Performance ◽  
Protective Function ◽  
Traumatic Diaphragmatic Hernia ◽  
Chest Cavity ◽  
Post Traumatic ◽  
The Right

A rare clinical case of delayed post-traumatic hernia of the right dome of the diaphragm with dislocation of the liver into the chest cavity without dysfunction of the liver, lungs, and the absence of hemodynamic disturbances is described. At the outpatient stage, during the planned fluorography in patient N, in the projection of the lower lobe of the right lung, a single round-shaped darkening with dimensions 11499 mm was revealed. To clarify the diagnosis, the patient was admitted to the clinic of hospital surgery military medical Academy named after S. M. Kirov in a planned manner. Based on the results of the examination and a thorough collection of anamnesis, the final diagnosis was established: Right-sided post-traumatic hernia with dislocation of the liver into the chest cavity. This complication is extremely rare. The literature describes isolated clinical examples of such a pathology. This is due to the peculiarities of the anatomical structure, namely, with the protective function performed by the liver. It prevents other organs of the peritoneal cavity from lobbying into the chest cavity. However, in this unique case, liver migration after a closed abdominal trauma was described. It is not unimportant that this clinical case was accompanied by a meager clinical picture, the absence of complaints from patient N., and normal indicators of the method performance of laboratory diagnostic techniques. The mortality rate for diaphragm ruptures can reach 31% in the first days after injury. Therefore, the diagnosis of diaphragmatic hernia requires exclusion in all patients with chest and / or abdominal trauma.

scholarly journals The Giant Post-Traumatic Diaphragmatic Hernia: Clinical Case and Literature Review

2019 ◽  
Vol 8 (3) ◽  
pp. 325-331
Author(s):  
S. A. Domrachev ◽  
S. A. Kucher
Keyword(s):  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Reconstructive Surgery ◽  
Postoperative Period ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diaphragmatic Rupture ◽  
Traumatic Diaphragmatic Hernia ◽  
Artificial Graft ◽  
Post Traumatic

The post-traumatic diaphragmatic hernia is a rare type of trauma which most commonly occurs after the blunt trauma of the thorax and abdomen. In the acute period of trauma, the symptoms of the emergency diseases and nonspecific signs of the diaphragmatic rupture are the reasons of frequent diagnostic mistakes. A missed diaphragmatic rupture grows in time and leads to migration of organs from the abdominal cavity to the thoracic one due to pressure gradient. The symptoms of diaphragmatic hernia are not expressed and the duration of the asymptomatic period of the disease may vary from some years to 10 years and longer. The increasing restructuring of the abdominal wall leads to reduced abdominal cavity, which makes the standard reconstructive surgery difficult, the intraabdominal pressure grows and relapse occurs in the postoperative period. In these cases, surgeons perform complex techniques which enlarge the abdominal cavity with local tissues or an artificial graft. However, there are no clear recommendations about the extent of the abdominal wall reconstruction so that the abdominal cavity size would be adequate for organs. The authors suggested a simple method to calculate it and used it in practice. In the article, we report the clinical case of a 53-year-old woman with a giant post-traumatic diaphragmatic hernia after motor vehicle accident 48 years ago and offer an original method of treatment. The first operation including hernia resolution and repair of diaphragmatic rupture was complicated by relapse on the second day after operation due to the high intra-abdominal pressure. During the second reconstructive surgery (4 months later), the authors performed their own method of abdominal cavity enlargement and got a good result in the shortand long-term postoperative period.

Post-traumatic diaphragmatic hernia

2020 ◽  
Author(s):  
Lorena Cambeiro Cabré ◽  
Eduard M. Targarona Soler ◽  
Carlos Rodríguez-Otero Luppi ◽  
Joan Borràs Marcet
Keyword(s):  
Diaphragmatic Hernia ◽  
Traumatic Diaphragmatic Hernia ◽  
Post Traumatic

scholarly journals Post-traumatic rupture of the right ovary and liver after blunt abdominal trauma: A case report

2020 ◽  
Vol 66 ◽  
pp. 85-87
Author(s):  
Panagiota Xaplanteri ◽  
Nada Zacharis ◽  
Charalampos Potsios ◽  
Georgios Zacharis
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traumatic Rupture ◽  
Post Traumatic ◽  
The Right

Progressive post-traumatic syringomyelia: a clinical case

2019 ◽  
Vol 21 (4) ◽  
pp. 81-88
Author(s):  
F. A. Bushkov ◽  
M. A. Bzhylyanskiy ◽  
A. Yu. Kordonskiy
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Informed Consent ◽  
Conflict Of Interest ◽  
Clinical Case ◽  
Spinal Injury ◽  
Spinal Column ◽  
Cord Injury ◽  
Post Traumatic ◽  
The Right

The objective of the present article is to describe a rare clinical case of progressive post-traumatic cervical syringomyelia after spinal cord injury with fracture of proximal metaepiphysis of the right humerus. The patient had a progressive neurological loss after spinal cord injury.Materials and methods. The patient underwent surgical treatment: decompression and stabilization of spinal column, surgical technique of spinal cord detethering, cyst shunting.Results. In the postoperative period the patient had increased spasticity in the lower extremities, increased weakness in the muscles of the upper extremities, aggravation of orthostatic hypotension, and inability to flex the first and the fifth fingers of the right hand. Magnetic resonance imaging of the cervical spine revealed progression of syringomyelia.Conclusion. This case demonstrates differentiation between cervical myelopathy and plexus paresis in a patient with combination spinal injury and reveals the mechanisms underlying late progression of neurological deficit.Conflict of interest. The authors declare no conflict of interest.Informed consent. The patient gave written informed consent to the publication of his data.

scholarly journals Delayed presentation of post traumatic diaphragmatic hernia

2011 ◽  
Vol 2011 (7) ◽  
pp. 6-6 ◽  
Author(s):  
S Lal ◽  
Y Kailasia ◽  
S Chouhan ◽  
APS Gaharwar ◽  
GP Shrivastava
Keyword(s):  
Diaphragmatic Hernia ◽  
Delayed Presentation ◽  
Traumatic Diaphragmatic Hernia ◽  
Post Traumatic

scholarly journals VATS-resection of the lower lobe of the left lung as a result of treatment of the long-term consequences of postponed foreign body aspiration in the child’s airways: Clinical case

2020 ◽  
pp. 90-95
Author(s):  
M. Opanasenko ◽  
◽  
L. Levanda ◽  
A. Tereshkovich ◽  
I. Liskina ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
Left Lung ◽  
Lower Lobe ◽  
Physical Exertion ◽  
Recurrent Pneumonia ◽  
The Right

Introduction. Foreign bodies in the airways are a very urgent problem that occurs at any age and quite often requires an urgent and sometimes urgent assessment of the situation, examination, and making the right decision. According to statistics, most often foreign body in airway are found in childhood. In about 95–98% of cases, this pathology is recorded in children aged 1.5 to 3 years. This is due to the behavior of children, their anatomical and physiological characteristics and underdevelopment of protective reflexes. Among all cases of foreign body in airway, foreign bodies of the larynx are found in 12%, trachea – in 18%, bronchus – in 70% of cases. In 80% of cases, CTs enter the right bronchus, as it is a broader and more direct continuation of the trachea. The correct diagnosis is established early after CT aspiration in 40–57% of patients. The mortality rate varies, according to different authors, from 2 to 15%. Clinical case. The boy V., born in 2008. was admitted to the Department of Pediatric Pulmonology on May 30, 2019, with complaints of frequent unproductive cough, mainly daytime, increasing with physical exertion, sometimes subfibril body temperature, weakness, lethargy, decrease appetite. These complaints have been observed for the third time in the last six months. Diagnosis: Foreign body B10 of the left lung. Conclusions. Aspiration of a foreign body into the respiratory tract most often occurs in early childhood (1–3 years). The clinical picture in the early stages is asymptomatic, and over time it leads to the development of inflammatory changes in the lungs, are treated conservatively. Given the complexity of diagnosis, aspiration of a foreign body can lead to frequent recurrent pneumonia, the formation of bronchiectasis in the lower parts of the lungs, which may require surgical treatment. The gold standard of diagnostics is fibrobronchoscopy and spiral computed tomography of the thoracic cavity (SCT OGK), with the help of which, early after aspiration, a foreign body can be detected and subsequently excluded from the respiratory tract. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of an participating institution.The informed consent of the child’s parents was obtained from the studies. No conflict of interest was declared by the authors. Key words: child, lungs, foreign body.

scholarly journals Post-Traumatic Diaphragmatic Hernia

2012 ◽  
Vol 74 (4) ◽  
pp. 334-335 ◽  
Author(s):  
R. Hajong ◽  
A. Baruah
Keyword(s):  
Diaphragmatic Hernia ◽  
Traumatic Diaphragmatic Hernia ◽  
Post Traumatic
Sign in / Sign up

Export Citation Format

Share Document