Incarcerated Diaphragmatic Hernia with Bowel Perforation Presenting as a Tension Pneumothorax

Offman, Ryan; Spencer, Ryan M.

doi:10.5811/westjem.2013.10.19034

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…In tension pneumothorax, a “one-way valve” mechanism causes the intrapleural pressure to exceed the atmospheric pressure by allowing air to continuously flow into the lungs but not allowing it to exit, secondary, in our case, to incarcerated bowel perforation through the diaphragmatic hernia. 6 Furthermore, the pneumothorax was complicated by a past medical history of chronic right pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

et al. 2016

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In this case report, we describe a rare case of spontaneous diaphragmatic hernia with perforation of the incarcerated ascending colon and subsequent formation of tension pneumothorax. A 73-year-old male with a past medical history of chronic right pleural effusion, restrictive ventilatory impairment and hypertension presented to us for evaluation of severe right chest pain of few days’ duration and severe dyspnoea. The chest radiograph revealed the presence of a loop of bowel in the basal right hemithorax with associated air/fluid levels. A CT scan of the chest confirmed the hydropneumothorax and revealed a right lower lobe ipo-expansion and a flogistic lung consolidation. After surgery, the patient underwent a contrast-enhanced CT scan of the chest, which showed no abnormal findings.

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Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

et al. 2016

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“…[ 12 ] In an uncommon case of bowel injury such as perforation, thoracotomy was the approach chosen to repair the condition. [ 13 ] This does not change the fact that the diagnosis of TDI remains difficult and often delayed. [ 14 ]…”

Section: Introductionmentioning

confidence: 99%

Management of Traumatic Diaphragmatic Injury—A Peep into Bowel Repair Via Thoracotomy

Okonta¹,

Ekwunife²,

Okonta³

et al. 2022

Journal of West African College of Surgeons

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Background: Traumatic diaphragmatic injury (TDI) is a relatively rare condition, and there is a high tendency for it to be missed if thorough clinical assessment and imaging review are not carried out. The surgical approach for TDI can be challenging, especially with bowel perforation. Materials and Methods: This is a retrospective case series of all consecutive patients with TDI from two tertiary hospitals in the southern part of Nigeria between January 2013 and December 2019. The demographic data of the patients, type, cause, and clinical diagnosis, intraoperative findings, Injury Severity Score, and outcome were noted. The descriptive statistics were presented in percentages and fractions. Results: Fourteen (4.3%) of the 326 chest trauma patients had TDI with 57.1% from penetrating causes and 42.9% from blunt causes. The causes of the TDI were gunshot injuries (42.9%), road traffic crashes (35.7%), stab injury (14.3%), and domestic accidents (7.1%). The preoperative method of diagnosis was mainly by massive haemothorax necessitating open thoracotomy (42.9%) and mixed clinical evaluation, chest radiograph, and upper gastrointestinal contrast studies (35.7%), and the drainage of intestinal content following the insertion of a chest tube to initially drain haemothorax (21.4%) and other modality of diagnoses (7.1%). The operative finding was mainly intestine content in the chest (50%) and only diaphragmatic injury (35.7%). The major complication after surgery was empyema thoracis (14.3%) and the mortality rate (14.3%). Conclusion: Penetrating injury of the chest was the major factor responsible for the TDI, and even with bowel perforation and acute TDI, thoracotomy offered an effective surgical approach for all the patients.

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“…In most handlebar hernias, the defect is in the lower abdominal wall and can be associated with intra-abdominal injury. 1 , 2 Injuries to the small bowel may occur secondary to high impact blunt trauma in a variety of deceleration mechanisms such as high-speed motor vehicle crashes, handlebar injuries, and falls. 3 Diagnosis is often delayed because there is usually no associated major blood loss.…”

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confidence: 99%

Handlebar Trauma Causing Small Bowel Hernia with Jejunal Perforation

Yaylacı¹,

Erçelik²,

Seyit³

et al. 2014

WestJEM

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Incarcerated Diaphragmatic Hernia with Bowel Perforation Presenting as a Tension Pneumothorax

Cited by 3 publications

References 6 publications

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

Management of Traumatic Diaphragmatic Injury—A Peep into Bowel Repair Via Thoracotomy

Handlebar Trauma Causing Small Bowel Hernia with Jejunal Perforation

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