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Delayed traumatic parasternal hernia causes jejunal necrosis: A case report

Huimin Zhao1, Ru Gao1, Donghui Jia1

  • 1Department of Thoracic Surgery, No. 1 Hospital of BaoDing City, China.

Trauma Case Reports
|April 13, 2018
PubMed

Insights

Timely diagnosis of diaphragmatic injury is crucial to prevent diaphragmatic hernia. This case highlights a rare adult parasternal hernia presenting with acute abdomen 2 years after thoracic trauma.

Area of Science:

  • Thoracic surgery
  • Gastroenterology
  • Diagnostic imaging

Background:

  • Diaphragmatic injuries are common, but delayed diagnosis can lead to diaphragmatic hernias.
  • Parasternal hernias are typically congenital and rare in adults.
  • Intrathoracic intestinal herniation complications are infrequent.

Observation:

  • A rare case of adult parasternal hernia occurred 2 years post-thoracic injury.
  • The patient presented with acute abdomen symptoms.
  • Plain radiography and computed tomography were utilized for diagnosis.

Findings:

  • Computed tomography (CT) and plain radiography revealed a parasternal hernia.
  • The hernia caused acute abdomen symptoms due to intestinal obstruction.
  • This case demonstrates a delayed presentation of diaphragmatic hernia post-trauma.

Implications:

  • Highlights the importance of considering delayed diaphragmatic hernia in adults with prior thoracic trauma presenting with abdominal symptoms.
  • Emphasizes the utility of advanced imaging like CT in diagnosing rare hernias.
  • Underscores the potential for serious complications like intestinal obstruction from seemingly minor or old thoracic injuries.

Keywords:
Jejunal necrosisObstructionParasternal hernia

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