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Right post-traumatic diaphragmatic hernia with liver and intestinal dislocation

C Sala1, M Bonaldi1, P Mariani2

  • 1General Surgery Post-Graduation School, University of Milan, Milano, Italy.

Journal of Surgical Case Reports
|May 2, 2017
PubMed

Insights

Delayed right diaphragmatic hernia is a rare consequence of abdominal trauma. Surgical repair led to successful recovery with no recurrence, highlighting effective management for this uncommon injury.

Area of Science:

  • Trauma surgery
  • Thoracic surgery
  • Abdominal surgery

Background:

  • Right diaphragmatic hernia is an uncommon injury resulting from abdominal trauma.
  • Delayed presentation of traumatic diaphragmatic defects can occur, often presenting with respiratory symptoms.

Observation:

  • A patient presented with a month of wheezing and cough, indicative of a potential diaphragmatic issue.
  • Imaging revealed a significant defect in the diaphragm with herniation of abdominal organs into the chest.

Findings:

  • Computed tomography (CT) scan confirmed a large right diaphragmatic defect with liver and intestinal dislocation.
  • Surgical intervention involved diaphragmatic repair to correct the hernia.

Implications:

  • Prompt diagnosis and surgical repair are crucial for managing post-traumatic diaphragmatic hernias.
  • Successful surgical outcomes with no recurrence suggest effective treatment protocols for this rare injury.

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