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

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 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.

Traumatic Diaphragmatic Hernia: Late Presentation as Bloody Pleural Effusion

CHEST Journal ◽  
1974 ◽  
Vol 66 (6) ◽  
pp. 734-736
Author(s):  
William G. Murchison ◽  
William K. Harper ◽  
Jerome S. Putnam
Keyword(s):  
Pleural Effusion ◽  
Diaphragmatic Hernia ◽  
Late Presentation ◽  
Traumatic Diaphragmatic Hernia

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

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.

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