Diaphragmatic rupture due to blunt trauma: a limited series case report

Taha, Abdulsalam Y.; Hussen, Waleed M.; Mahdi, Mohammed Bally

doi:10.4103/ejs.ejs_22_18

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…Rather than being late-presenting, most chronic TDR, particularly on the right side, are initially misdiagnosed. (11) Several characteristics of the diaphragm may cause misunderstanding during the imaging work-up of trauma patients. When the diaphragm comes into contact with softtissue organs, pulmonary lesions, or fluid, it can be difficult to see.…”

Section: Discussionmentioning

confidence: 99%

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Revata¹,

Rahmansyah

2022

Univ Med

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IntroductionTraumatic diaphragmatic hernia (TDH) is uncommon, being encountered in around 0.8%-8% of patients with blunt abdominal trauma. Severe comorbidities such as fractures and thoraco-abdominal or head injuries that accompany TDH, are responsible for poor prognosis and often mask diaphragmatic injury itself. Objective of this case report was to highlight rare blunt TDH case to avoid missed diagnosis leading to complications. Case descriptionSixty seven-year old man presenting with right chest pain without difficulty of breathing after falling from stairs 1 hour before hospital admission. On clinical examination, vitals were stable, but with decreased breath sounds on right lower side of chest. Patient had history of trauma from being crushed by elevator 40 years ago without any proven diaphragmatic injury. Initial erect chest X-ray findings were inhomogeneous opacity shadow on lower right hemithorax suspected to be diaphragmatic hernia and 7th right rib fracture with pleural effusion. Thorax CT scan showed herniated right lobe of liver, gall bladder, and mesenteric fat on right hemithorax causing displacement of mediastinal structures. Patient was diagnosed with delayed TDH and hemothorax caused by newly fractured rib. Patient was referred to a better-equipped facility due to the limited surgical facilities in referring hospital. ConclusionDelayed TDHs are not common, but can lead to serious consequences. Blunt TDH occurs more often on left than on right side, in ratio of approximately 3:1. Traumatic diaphragmatic hernia is sometimes diagnosed many years after traumatic event due to latent phase of disease possibly ranging from days to years.

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Section: Discussionmentioning

confidence: 99%

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Revata¹,

Rahmansyah

2022

Univ Med

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“…The three muscular components of the diaphragm (pars costalis, pars sternalis and pars lumbaris) converge on the central tendon [2]. In between these parts, there are gaps of potential weakness consisting of pleura, peritoneum and two fascial layers through which traumatic diaphragmatic rupture (TDR) with or without visceral herniation is possible [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Resuscitation and organ reduction in large traumatic diaphragmatic hernia

Lakhote

Sharnagat

Quraishi

2021

ijhs

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Diaphragmatic injury is a rare entity and clinically difficult to be diagnosed as symptoms are often masked due to associated injury in a poly trauma case. There are no specific signs and symptoms for diagnosing diaphragmatic rupture. High degree of clinical suspicion is needed in all cases of thoraco-abdominal injury to diagnose a case of diaphragmatic rupture. Cardiovascular and Thoracic compromise secondary to Large Diaphragmatic hernia can be significant and needs consideration and immediate intervention

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A delayed presentation of traumatic diaphragmatic hernia in a young male: a unusual case report and comprehensive review of literature

K C,

Lamichhane,

Khanal

et al. 2024

Journal of Surgical Case Reports

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Acquired diaphragmatic hernia is typically caused by blunt trauma to the abdomen. It can be challenging to diagnose in acute cases due to a wide range of symptoms. Delayed presentation of traumatic diaphragmatic hernia is uncommon and can lead to respiratory issues or bowel complications like incarceration, perforation, or strangulation. Computed tomography is the preferred diagnostic tool. For acute case, laparotomy is indicated traditionally; however, the choice of surgery is dependent upon the surgeon’s expertise and availability of resources.

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Diaphragmatic rupture due to blunt trauma: a limited series case report

Cited by 3 publications

References 1 publication

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Delayed asymptomatic blunt traumatic diaphragmatic hernia: an unusual case report

Resuscitation and organ reduction in large traumatic diaphragmatic hernia

A delayed presentation of traumatic diaphragmatic hernia in a young male: a unusual case report and comprehensive review of literature

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