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Updated: May 23, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Delayed intestinal obstruction due to posttraumatic diaphragmatic hernia
Pablo Menéndez-Sánchez1, Pedro Villarejo-Campos, David Padilla-Valverde
1Servicio de Cirugía General y de Aparato Digestivo, Hospital General de Ciudad Real, Madrid, Spain. pablomensan@hotmail.com
Background:
Diaphragmatic rupture can be missed during trauma diagnosis. Different pressures between the thorax and the abdomen allow the abdominal viscera to herniate into the chest cavity. Cardiorespiratory and abdominal symptoms may appear later due to passive compression and incarceration, respectively.
Clinical Case:
We report the case of a 52-year-old female with abdominal pain and vomiting. Chest x-ray demonstrated an elevation of the right hemidiaphragm, and computed tomography showed herniation of small bowel and colon into the chest cavity with dilated small bowel due to a diaphragmatic hernia.
Conclusions:
History of traumatic events should be considered with high suspicion in the diagnostic process to avoid delayed diagnosis of this condition. The nonspecific symptoms of this condition often lead the patient to consult different specialists. A multidisciplinary approach is required and aimed at preventing an unnecessary increase of morbidity and mortality.
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