Clinical-evolutive, diagnostic and treatmental particularities in traumatic diaphragmatic hernia in children. Clinical case presentation and literature review

Abstract

Paediatric surgery.Ukraine͘ϮϬϮϬ͘ϮΈϲϳΉ͗ϳϯͳϳϳ͖ K/ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϳ͘ϳϯ For ĐŝƚĂƟŽŶ͗ ĂďƵĐŝ ^͕ ƌĞŵŝĂ s͕ WĞƚƌŽ|ŝĐŝ s͘ ;ϮϬϮϬͿ͘ ůŝŶŝĐĂůͲĞ|ŽůƵƟ|Ğ͕ ĚŝĂŐŶŽƐƟĐ ĂŶĚ ƚƌĞĂƚŵĞŶƚĂů ƉĂƌƟĐƵůĂƌŝƟĞƐ ŝŶ ƚƌĂƵŵĂƟĐ ĚŝĂƉŚƌĂŐŵĂƟĐ ŚĞƌŶŝĂ ŝŶ ĐŚŝůĚƌĞŶ͘ ůŝŶŝĐĂů ĐĂƐĞ ƉƌĞƐĞŶƚĂƟŽŶ ĂŶĚ ůŝƚĞƌĂƚƵƌĞ ƌĞ|ŝĞǁ͘ WĂĞĚŝĂƚƌŝĐ ^ƵƌŐĞƌLJ͘hŬƌĂŝŶĞ͘ Ϯ;ϲϳͿ͗ ϳϯͲϳϳ͘ ĚŽŝ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϳ͘ϳϯDiaphragmatic-traumatic hernia represents an entity in the child. Frequency reduced, delayed clinical manifestations, nonspecific symptomatology determines multiple diagnostic difficulties, which increases the risk of developing severe complications.The authors present the case of a 4-year-old child with late manifestations of traumatic diaphragmatic hernia. The certainty diagnosis was established at thoracic CT with dynamic contrast in angiographic regime. The child underwent surgical treatment.The authors concluding that the primary repair with the application of nonabsorbable sutures and the concomitant use of the acellular pericardial mold for consolidation is an effective option in the surgical reconstruction of traumatic diaphragmatic defects in children.The authors declare no conflicts of interests.