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Tension pneumothorax due to perforated colon
Muhammad Abdullah1, Paul Stonelake2
1Department of General Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK.
BMJ Case Reports
|June 2, 2016
Summary
A rare traumatic diaphragmatic hernia case presented 46 years after injury, causing tension pneumothorax due to a perforated colon. Prompt surgical intervention led to a successful outcome for this critical patient.
Area of Science:
- Trauma surgery
- Gastrointestinal surgery
- Thoracic surgery
Background:
- Delayed presentation of traumatic diaphragmatic hernia is rare.
- Patients may have long-standing symptoms before diagnosis.
Observation:
- A 65-year-old woman presented with respiratory distress, sepsis, and acute kidney injury 46 years post-trauma.
- Initial imaging excluded diaphragmatic hernia, showing only a raised left hemidiaphragm.
Findings:
- Tension pneumothorax and faecopneumothorax due to a perforated colon within the chest cavity.
- Diagnosis was confirmed by repeat CT scan after clinical suspicion.
Implications:
- Highlights the importance of considering delayed traumatic diaphragmatic hernia in patients with unexplained respiratory and gastrointestinal symptoms.
- Emphasizes the role of advanced imaging and multidisciplinary consultation in diagnosing rare surgical emergencies.
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