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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
Summary
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.
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