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. 2012 Fall;1(3):89-92.
doi: 10.5812/atr.7593. Epub 2012 Oct 14.

Blunt traumatic hernia of diaphragm with late presentation

Abdolhossein Davoodabadi  1 , Esmaeil Fakharian  1 , Mahdi Mohammadzadeh  1 , Esmaeil Abdorrahim Kashi  1 , Azadeh Sadat Mirzadeh  2
Affiliations

Blunt traumatic hernia of diaphragm with late presentation

Abdolhossein Davoodabadi et al. Arch Trauma Res. 2012 Fall.

Abstract

Background: Diaphragmatic hernia after blunt trauma is an uncommon and often undiagnosed condition.

Objectives: We aimed to review patients who presented with delayed blunt traumatic hernia of diaphragm.

Patients and methods: In this retrospective study, the medical records of six patients treated for blunt diaphragmatic hernias who were admitted to Kashan Shahid Beheshti hospital between June 2007 and June 2011 were analyzed.

Results: Six patients with mean age of 41 years were included in the study. Male to female ratio was 2:1. Mean duration between trauma and admission to the hospital was 6.5 years (2 - 26 years). Five patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic in 50 percent of the cases (n = 4). Additional diagnostic imaging with computerized tomography (CT) was used in six patients and upper gastrointestinal (GI) contrast study was performed in one patient. All patients underwent thoracotomy incision. Mesh repair was utilized in one patient. The mean hospitalization time was 14.1 days. There was one postoperative death (16.7%).

Conclusions: Late presentation of blunt diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ.

Keywords: Diaphragm; Diaphragmatic Hernia; Trauma.

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Figures

Figure 1
Figure 1. Upper Gastrointestinal (GI) Contrast Study of a Patient Presented With Intermittent Abdominal Pain, Vomiting, and Dyspnea, Especially after Heavy Meal, 26 Years from Car Accident
See this image and copyright information in PMC

References

    1. Adler DH. Blunt diaphragmatic injury in a 7-year-old girl1 1 Clinical Communications (Pediatric) is coordinated by Roger Barkin, MD, of HealthONE, Denver, Colorado, and Ghazala Sharieff, MD, of the University of Florida, Jacksonville, Florida. J Emerg Med. 2002;23(1):39–42. doi: 10.1016/S0736-4679(02)00459-6. - DOI - PubMed
    1. Edino S, Alhassan S, Ajayi O. Traumatic diaphragmatic rupture with gastro-pleuro-cutaneous fistula: A case report and literature review. Nigerian J Surg. 2002;8:18–20.
    1. Chughtai T, Ali S, Sharkey P, Lins M, Rizoli S. Update on managing diaphragmatic rupture in blunt trauma: a review of 208 consecutive cases. Can J Surg. 2009;52(3):177–81. - PMC - PubMed
    1. Galimberti A, Casagrande A, Compagnoni BM, Sansonetti G, Rusconi A, Grassi M, et al. [Late post-traumatic diaphragmatic hernia: unusual cause of colonic occlusion]. Chir Ital. 2001;53(4):551–4. - PubMed
    1. Clarke DL, Greatorex B, Oosthuizen GV, Muckart DJ. The spectrum of diaphragmatic injury in a busy metropolitan surgical service. Injury. 2009;40(9):932–7. doi: 10.1016/j.injury.2008.10.042. - DOI - PubMed

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