Related Experiment Video
Updated: Nov 20, 2025
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.6K
Faecopneumothorax due to missing diaphragmatic hernia: a case report
Resul Nusretoğlu1, Yunus Dönder2
1Department of General Surgery, Hakkari Yüksekova State Hospital, Hakkari, Turkey.
Journal of Medical Case Reports
|January 23, 2021
Summary
Acquired diaphragmatic hernia, often caused by trauma, can lead to severe complications like sepsis. This case highlights a diaphragmatic hernia with colonic perforation following a stab wound, emphasizing the need for prompt diagnosis and surgical intervention.
Area of Science:
- Trauma surgery
- Gastrointestinal surgery
- Thoracic surgery
Background:
- Acquired diaphragmatic hernias result from trauma, either blunt or penetrating.
- Penetrating thoracoabdominal trauma can rarely lead to diaphragmatic hernias.
Observation:
- A 54-year-old male presented with abdominal pain and dyspnea 3 months after a stab wound.
- Computed tomography revealed a diaphragmatic hernia with fluid in the hernia sac.
- Emergency laparotomy identified a 6 cm diaphragmatic defect with necrotic colonic contents in the thorax.
Findings:
- The patient underwent colon resection and anastomosis, with diaphragmatic defect repair.
- Surgical intervention successfully managed the diaphragmatic hernia and associated colonic perforation.
Implications:
- Acquired diaphragmatic hernias can be asymptomatic or present with life-threatening sepsis.
- Prompt surgical management is crucial for diaphragmatic hernias with visceral complications.
Related Concept Videos
01:27Pneumothorax-II
605
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
605
01:26Pneumothorax-I
771
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
771
01:24Flail Chest-I
391
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
391
01:13Pleura of the Lungs
4.8K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
4.8K
01:28Esophageal Perforation-II: Clinical Manifestations and Management
246
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
246
01:26Flail Chest-II
367
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
367