scholarly journals Clinical, surgical, and radiographic aspects in a white‑eared opossum (Didelphis albiventris) with traumatic diaphragmatic hernia

2021 ◽  
Vol 15 (4) ◽  
pp. 292-296
Author(s):  
Carolina Fucks de Souza ◽  
Ronaldo José Piccoli ◽  
Paula Eduarda Quintana ◽  
Lettycia Demczuk Thomas ◽  
Olicies da Cunha ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Clinical Manifestations ◽  
Complete Recovery ◽  
Pulmonary Contusion ◽  
Radiographic Examination ◽  
Traumatic Diaphragmatic Hernia ◽  
Abdominal Organs ◽  
Intestinal Segments ◽  
Median Laparotomy ◽  
Didelphis Albiventris

This is the case of a specimen of Didelphis albiventris with signs of respiratory difficulty after a dog attack. Thoracic radiographic examination revealed pneumothorax, pulmonary contusion, and rib fracture, but no alteration compatible with diaphragmatic hernia was observed. Pneumothorax was reduced and the other alterations were treated. However, clinical manifestations persisted, and thus a contrast-gastrointestinal radiographic study was performed, showing abdominal organs in the thoracic cavity and loss of diaphragmatic line. The surgical approach was instituted, with access to the diaphragm through median laparotomy. Through the diaphragmatic rupture, present in the left antimere, there were herniated liver and gastric portions, intestinal segments, and omentum. After inspection and repositioning of the abdominal organs, the diaphragm raffia was performed with single sutures interrupted with 3-0 Nylon thread. The patient’s complete recovery occurred 14 days after the surgical procedure, with remission of clinical manifestations and normality of thoracic images in radiographic studies.

Tension Pneumothorax due to Colon Perforation in Delay Post Traumatic Diaphragmatic Hernia: Case Report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Samsami M ◽  
◽  
Tahmasbi H ◽  
Nikraftar P ◽  
Bagherpour JZ ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Event ◽  
Tension Pneumothorax ◽  
Late Presentation ◽  
Colon Perforation ◽  
Thoracic Cavity ◽  
Traumatic Diaphragmatic Hernia ◽  
Respiratory Problems ◽  
Abdominal Organs ◽  
Post Traumatic

Diaphragmatic injuries were described first by Sennertus in 1541. Rupture of the diaphragm due to blunt trauma is a rare event that is usually not detected in the acute phase of trauma and may manifest itself late and with dangerous complications. The common side effects of this injury include displacement of the abdominal viscera into the thoracic cavity, which can cause respiratory problems due to limited lungs. Abdominal organs such as stomach, omentum, intestines, spleen, and liver are the most common to herniate in to the thoracic cavity .In late presentation, the key point is to identify the patient’s strong clinical suspicion and history. CT scan is the most common modality in diagnosis of diaphragmatic hernia. In this article, we introduce a unique case of diaphragmatic hernia after trauma due to falling from a height of 2 years ago, which showed itself with a tension pneumothorax in its management.

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

Lupus myocarditis: a single center experience and a comparative analysis of observational cohort studies

Lupus ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1296-1302 ◽  
Author(s):  
J Tanwani ◽  
K Tselios ◽  
D D Gladman ◽  
J Su ◽  
M B Urowitz
Keyword(s):  
Comparative Analysis ◽  
Cohort Studies ◽  
Lupus Erythematosus ◽  
Clinical Manifestations ◽  
Data Retrieval ◽  
Complete Recovery ◽  
University Of Toronto ◽  
Single Center Experience ◽  
Organ Systems ◽  
Lupus Myocarditis

Background Lupus myocarditis (LM) is reported in 3–9% of patients with systemic lupus erythematosus (SLE) but limited evidence exists regarding optimal treatment and prognosis. This study aims to describe LM in a defined lupus cohort as compared with the existing literature. Patients and methods Patients with LM were identified from the University of Toronto Lupus Clinic database. Diagnosis was based on clinical manifestations and electrocardiographic, imaging, and biochemical criteria. Demographic, clinical, diagnostic and therapeutic variables and outcomes were collected in a standardized data retrieval form. A literature review was performed to identify cohort studies reporting on LM treatment and outcome. A comparative analysis was conducted between our patients and the combined cohort of the existing studies. Results Thirty patients were diagnosed with LM (prevalence 1.6%) and compared with a cumulative cohort of 117 patients from five distinct studies. No significant differences were found regarding the age at diagnosis (32.6 ± 13.4 years) and SLE duration (2.5 years median). Concomitant lupus activity from other organ systems was observed in 97% of the patients. Chest pain was more frequently reported in our cohort whereas dyspnea was more prominent in the other studies. Diagnostic criteria were similar across studies. Therapeutic approach was comparable and consisted of glucocorticosteroids (96.6%) and immunosuppressives (70%). Mortality was approximately 20% whereas another 20% of the patients achieved partial and 60% complete recovery. Conclusions LM usually occurs early in the disease course and in the context of generalized lupus activity. Despite aggressive therapy, approximately 40% of the patients died or had residual heart damage.

Hernia diaphragmatica

1938 ◽  
Vol 34 (1) ◽  
pp. 94-97
Author(s):  
I. M. Kuznetsov
Keyword(s):  
Differential Diagnosis ◽  
Diaphragmatic Hernia ◽  
Rare Diseases ◽  
Abdominal Organs ◽  
Diagnosis Of Diseases

Descriptions of cases of diaphragmatic hernia, as well as other diseases of the diaphragm, are relatively rare in the literature. Therefore, we want to share our observation, which once again indicates that in the differential diagnosis of diseases of the chest and abdominal organs, it is necessary to remember about such rare diseases as a hernia of the diaphragm.

scholarly journals Surgical Experience with Traumatic Diaphragmatic Hernia

2001 ◽  
Vol 4 ◽  
pp. 7-8
Author(s):  
Gambhir Lal Rajbhandari
Keyword(s):  
Diaphragmatic Hernia ◽  
Surgical Experience ◽  
Traumatic Diaphragmatic Hernia

Surgical Experience with Traumatic Diaphragmatic Hernia

scholarly journals A Retrospective Study of 51 Pediatric Cases of Traumatic Asphyxia

2021 ◽  
Author(s):  
luo huirong ◽  
xin jin
Keyword(s):  
Spinal Injury ◽  
Medical Center ◽  
Clinical Manifestations ◽  
Retinal Hemorrhage ◽  
Pulmonary Contusion ◽  
Cerebral Contusion ◽  
Subconjunctival Hemorrhage ◽  
Traumatic Asphyxia ◽  
Medical Reports ◽  
Facial Edema

Abstract Backgroundtraumatic asphyxia (TA) is a rarely reported disease characterized as thoraco-cervico-facial petechiae, facial edema and cyanosis, subconjunctival hemorrhage and neurological symptoms. This study aimed to report 51 children of TA at the pediatric medical center of west China.Methodsscanned medical reports were reviewed and specific variables as age, sex, cause of injury, clinical manifestations and associated injuries were analyzed using SPSS 25.0.Resultsaged as 5.3±2.9 (1.3-13.2), 30 (58.8%) were boys and 21 (41.2%) were girls. Most TAs occurred during vehicle accident, object compression and stampede. All patients showed facial petechiae (100.0%, CI 93.0%-100.0%), 25 (49.0%, CI 34.8%-63.2%) out of 51 presented with facial edema, 29 (56.9%, CI 42.8%-70.9%) presented with subconjunctival hemorrhage, including bilateral 27 and unilateral 2. 6 patients had facial cyanosis (11.8%, CI 2.6%-20.9%). Other symptoms were also presented as epileptic seizure, vomiting, incontinence, paraplegia, etc. The most frequent companion injury was pulmonary contusion (76.5%, CI 64.4%-88.5%). Other companion injuries included mediastinal emphysema, fracture, cerebral contusion and hemorrhage, hypoxic-ischemic brain injury, abdominal organ contusion, mastoid hemorrhage, hematocele of paranasal sinuses, spinal injury, hepatic insufficiency, myocardial injury and retinal hemorrhage and edema. Treatment was mainly supportive. No death occurred in our study. The prognosis is rather good if without damage of central nervous system.ConclusionTA could bring out multiple symptoms, among which retinal hemorrhage and edema, spinal injury and viscera impairment have been less observed. Comprehensive physical and auxiliary examination should be performed considering TA. Its prognosis is rather good with focus on life-threatening complications.

scholarly journals Traumatic Diaphragmatic Hernia

BMJ ◽  
1954 ◽  
Vol 2 (4886) ◽  
pp. 498-499 ◽  
Author(s):  
G. R. C. Peatfield
Keyword(s):  
Diaphragmatic Hernia ◽  
Traumatic Diaphragmatic Hernia

Bilateral traumatic diaphragmatic hernia

1941 ◽  
Vol 52 (3) ◽  
pp. 502-506 ◽  
Author(s):  
R.F. Metcalfe ◽  
Sam F. Seeley
Keyword(s):  
Diaphragmatic Hernia ◽  
Traumatic Diaphragmatic Hernia
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