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Strangulated traumatic diaphragmatic hernia simulating a subphrenic abscess

C A Lerner1, H Dang, R A Kutilek

  • 1Department of Radiology, St. Joseph Hospital, Creighton University Medical Center, Omaha, Nebraska 68131, USA.

The Journal of Emergency Medicine
|December 24, 1997
PubMed
Summary
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Delayed diagnosis of traumatic diaphragmatic hernias is common due to varied signs. This case highlights a delayed presentation of diaphragmatic rupture mimicking a subphrenic abscess.

Area of Science:

  • Trauma surgery
  • Diagnostic imaging
  • Gastroenterology

Background:

  • Traumatic diaphragmatic hernias present diagnostic challenges due to diverse clinical and radiological signs.
  • Symptoms may be delayed for months to years post-injury, complicating diagnosis.

Observation:

  • A case of delayed presentation of traumatic diaphragmatic rupture is reported.
  • A portion of the stomach herniated through the rupture.

Findings:

  • The herniated stomach mimicked a large subphrenic abscess on imaging.
  • This presentation underscores the varied manifestations of diaphragmatic injuries.

Implications:

  • Highlights the importance of considering diaphragmatic rupture in delayed presentations, even with atypical findings.

Related Experiment Videos

  • Emphasizes the need for thorough diagnostic evaluation to avoid misdiagnosis of traumatic diaphragmatic hernias.
  • Suggests advanced imaging may be crucial for identifying subtle diaphragmatic defects.