Laparoscopic repair of acute traumatic diaphragmatic hernia with mesh reinforcement: A case report

Gielis, Manuel; Bruera, Nicolás; Agustín, Pinsak; Ignacio, Olmedo; Fabián, Paez Walter; Viscido, Germán

doi:10.1016/j.ijscr.2022.106910

Cited by 10 publications

(12 citation statements)

References 16 publications

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“…In the case of this patient, a suture was deemed adequate to close the defect and a 1 Ethibond non-absorbable stitch was used. The principle generally accepted when considering the approach to repairing a diaphragmatic defect is that it is generally preferable to use a stitch repair if the defect is deemed small, and to use mesh if the defect is deemed too big for a primary closure 11…”

Section: Discussionmentioning

confidence: 99%

Right-sided diaphragmatic hernia causing gastric outlet obstruction 1 month after trauma

Alfardan,

Fernandes,

Thomas

2024

BMJ Case Rep

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Diaphragmatic hernias arising from trauma are rare, and scarcely present in a delayed manner. This case report highlights a case of delayed presentation of a right-sided post-traumatic hernia in a woman in her early 70s following a fall. The aim of this report is to shed light on the diagnostic peculiarities and management. The woman presented with a 3-day history of abdominal pain and coffee-ground vomiting. This followed a fall a month ago. CT confirmed the diagnosis of a gastric outlet obstruction secondary to a right-sided diaphragmatic rupture. At surgery, the herniated abdominal contents were reduced, and the diaphragmatic defect was fixed. The postoperative recovery was unremarkable, and the patient was discharged on day 4. This case highlights that diaphragmatic hernias should be considered as differential diagnoses following recent trauma.

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Section: Discussionmentioning

confidence: 99%

Right-sided diaphragmatic hernia causing gastric outlet obstruction 1 month after trauma

Alfardan,

Fernandes,

Thomas

2024

BMJ Case Rep

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“…Therefore, the patient was rapidly managed due to the concerns of developing incarcerated hernia where mortality rates are very high [ 8 ]. Such procedures can also be carried out endoscopically [ 9 ], but in our case, the chronic nature of the hernia made open surgery extremely challenging due to the difficulty with returning the abdominal components.…”

Section: Discussionmentioning

confidence: 99%

Left diaphragmatic hernia after a mild blunt trauma in Syria: a case report

Soqia

Ataya

Alhadid

et al. 2023

Journal of Surgical Case Reports

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Left side traumatic diaphragmatic hernias (DH) are very rare and usually present acutely. They might represent after years of minor trauma, and they should be considered among differentials to avoid complications. We present a 28-year-old female coming with acute epigastric pain radiating into the chest with dyspnea and vomiting. Her history was negative for trauma and other than very minor trauma two years earlier. Chest X-ray showed atelectasis with mild pleural effusion. Computed tomography scan showed several cavities, filling the left chest with a gaseous liquid level. Surgery was performed that demonstrated DH and the abdominal viscera were returned to the abdomen without any complications. Traumatic DHs can be easily overlooked with the absent of recent major trauma. They can represent years after the original trauma with acute symptoms, which can make it hard to diagnosis if not considered.

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“…TDH is incorrectly diagnosed in up to 33% of cases during the immediate post-traumatic period. If left untreated, mortality rates are between 25 and 80% in patients with strangulation of the incarcerated viscera [ 1 ]. TDH can be diagnosed by chest radiography, but it is difficult to recognize small lesions, and abnormal shadows due to pleural effusion may limit visibility.…”

Section: Discussionmentioning

confidence: 99%

“…TDH can be repaired by laparotomy, laparoscopy, or thoracoscopy, depending on the experience and skills of the surgeon [ 1 ]. Complete reduction of the herniated organs back into the abdomen and watertight closure of the diaphragm will help avoid recurrence [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of a traumatic diaphragmatic hernia with repeated colon incarcerations 7 years after injury: a case report

Higuchi,

Takahashi,

Kurokawa

et al. 2023

surg case rep

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Background A diaphragmatic hernia is a prolapse of the abdominal organs into the thoracic cavity through a hole in the diaphragm. Traumatic diaphragmatic injuries are rare and usually occur after blunt or penetrating thoracic or abdominal traumas. Blunt diaphragmatic rupture rarely accounts for immediate mortality and may go clinically silent until complications occur which can be life threatening. It usually present late with intrathoracic herniation of abdominal viscera and carry a high mortality rate. We experienced a very rare case who showed repeated colon incarcerations 7 years after injury. And, we operated laparoscopically. Case presentation A 64-year-old man presented with multiple left rib fractures that occurred during an accident. After 7 years, he visited the emergency department with the chief complaint of left shoulder pain and epicardial pain after eating. He was diagnosed with transverse colon incarceration due to a left diaphragmatic hernia by computed tomography (CT) and X-ray imaging. Surgical repair was recommended, but he refused as the symptoms improved. Fourteen months later, the patient revisited the hospital in similar symptoms and improved spontaneously. He consulted our hospital for the surgical indication. We recommended that he undergo surgery, showing images of the X-ray and CT when his transverse colon was obstructed and he felt pain and when symptoms improved. Finally, he decided to undergo surgery. We performed diaphragmatic hernia repair with laparoscopic direct suturing in good view. The patient experienced an uneventful postoperative recovery period. The absence of diaphragmatic herniation recurrence was confirmed seven months after surgery. Conclusions We experienced a traumatic diaphragmatic hernia with repeated colon incarcerations 7 years after injury and performed surgical repair laparoscopically.

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Laparoscopic repair of acute traumatic diaphragmatic hernia with mesh reinforcement: A case report

Cited by 10 publications

References 16 publications

Right-sided diaphragmatic hernia causing gastric outlet obstruction 1 month after trauma

Right-sided diaphragmatic hernia causing gastric outlet obstruction 1 month after trauma

Left diaphragmatic hernia after a mild blunt trauma in Syria: a case report

Laparoscopic repair of a traumatic diaphragmatic hernia with repeated colon incarcerations 7 years after injury: a case report

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