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Delayed presentation of traumatic diaphragmatic hernia complicated by bowel obstruction and perforation: a case
Krishna Kumar Yadav1, Ranjeet Ghimire2, Ranjit Rauniyar1
1Department of General Surgery, Tribhuvan University Teaching Hospital, Maharajgunj.
Abstract:
Post-traumatic diaphragmatic hernia is a rare but life-threatening condition resulting from a traumatic injury to the diaphragm. We present a case of a 48-year-old man with a history of fall injury and a delayed presentation of a right-sided diaphragmatic hernia with subsequent bowel obstruction and perforation in a patient with a history of trauma and tuberculosis. The patient underwent exploratory laparotomy with manual reduction of the herniated bowel, primary repair of the diaphragmatic defect, and the creation of a double-barrel ileostomy. This case highlights the importance of considering traumatic diaphragmatic hernia in patients with a history of trauma presenting with abdominal symptoms. Timely diagnosis and surgical intervention are crucial in preventing serious complications associated with this condition.
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