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 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.

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.

scholarly journals Surgical Approach in Management of Posttraumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ahmed Shabhay ◽  
Pius Horumpende ◽  
Zarina Shabhay ◽  
Sjef G. Van Baal ◽  
Ester Lazaro ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Surgical Approach ◽  
Abdominal Cavity ◽  
Left Lobe ◽  
Delayed Presentation ◽  
Thoracic Cavity ◽  
Visceral Injury ◽  
Traumatic Diaphragmatic Hernia ◽  
Diaphragmatic Repair ◽  
Management Approaches

Breach in diaphragmatic musculature permits abdominal viscera to herniate into the thoracic cavity. Time of presentation and associated injuries determines the surgical approach in management. This case report sets to highlight the challenges in clinical diagnosis, radiological interpretation, and surgical management approaches of posttraumatic diaphragmatic hernia. We report a case of a 43 years old male who was diagnosed with traumatic diaphragmatic hernia 6 months post blunt thoracoabdominal trauma due to motor traffic accident. He was initially diagnosed with haemothorax, drained with an underwater thoracostomy tube, and discharged. He continued to experience on and off chest pain worsening postfeeding, difficulty in breathing and abdominal pain for the next six months until his eventual diaphragmatic hernia diagnosis. He was scheduled for an elective thoracotomy. A left posterolateral thoracic over the 7th intercostal space incision was used. Intraoperatively, the stomach, left lobe of liver, part of transverse colon, small bowel, and omentum had herniated into the thoracic cavity adhering into thoracic viscera and wall. Adhesiolysis was done, and abdominal organs reduced into abdominal cavity. Rent was closed by interrupted Prolene sutures reinforced with a mesh. In patients with delayed presentation of diaphragmatic hernia post blunt thoracoabdominal injury without associated intra-abdominal visceral injury, we recommend the thoracic diaphragmatic repair approach as long-standing herniated bowels might adhere with thoracic cavity walls or viscera. In such cases, adhesiolysis and rent repair is easier through thoracotomy.

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.).

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

Diaphragmatic Hernia

1983 ◽  
Vol 4 (8) ◽  
pp. 244-266
Keyword(s):  
Intensive Care ◽  
Pulmonary Arterial Hypertension ◽  
Diaphragmatic Hernia ◽  
Neonatal Intensive Care ◽  
Pulmonary Hypoplasia ◽  
Thoracic Cavity ◽  
Hemodynamic Changes ◽  
Life Threatening ◽  
Pulmonary Arterial ◽  
Immediate Surgery

In spite of the availability of almost immediate surgery and neonatal intensive care, congenital diaphragmatic hernia is a life-threatening anomaly in the newborn. It is the result of early embryologic malformation or failure of fusion of the components of the diaphragm allowing for the displacement of the abdominal contents into the thoracic cavity. There is consequent compression of the lung which may result in pulmonary hypoplasia or compression of the cardiovascular structures resulting in deleterious hemodynamic changes. Hypoxia and acidosis result in the presentation of respiratory distress and cyanosis. This is frequently associated with pulmonary arterial hypertension with right to left shunting through fetal circuits.

Sign in / Sign up

Export Citation Format

Share Document