Late Onset Traumatic Diaphragmatic Herniation Leading to Intestinal Obstruction and Pancreatitis: Two Separate Cases

Abstract

Although diaphragmatic injuries caused by blunt or penetrating trauma are rare entities, they are the most commonly misdiagnosed injuries in trauma patients and occur in approximately 3–7% of all abdominal or thoracic traumas. Acute pancreatitis secondary to late presenting diaphragmatic hernia is very rare. Here we present two separate cases: one with acute bowel obstruction and the other with acute pancreatitis secondary to late onset traumatic diaphragmatic hernia (three and twenty-eight years after chest trauma, resp.).

Late-onset traumatic diaphragmatic hernia associated with acute pancreatitis

“…One reported a man with a right-sided traumatic diaphragmatic hernia 28 years ago presented AP. [ 9 ] The other reported a 68-year-old man presented AP with a history of hiatal hernia. [ 10 ] They all had recovery after surgery.…”

Delayed presentation of left traumatic diaphragmatic hernia with displacement of spleen and stomach to left hemi thorax

“…The diagnosis of diaphragmatic hernia is accomplished by laparotomy. 10 F I G U R E 1 Spiral CT scan of abdomen and pelvic with contrast before and after operation Dinc, et al 11 presented two cases of late onset of diaphragmatic herniation 3 and 28 years following chest trauma, respectively. The hernia was complicated by bowel obstruction and acute pancreatitis and was successfully managed surgically.…”

“…Dinc, et al 11 presented two cases of late onset of diaphragmatic herniation 3 and 28 years following chest trauma, respectively. The hernia was complicated by bowel obstruction and acute pancreatitis and was successfully managed surgically.…”

Massive post-traumatic neglicted diaphragmatic hernia revealed by necrotizing pancreatitis, A case report according scare guidelines

“…The Case study of this woork is very rare; only 9 similar cases were reported in the literature [ 3 ]; and is charachterized by an atypical chest presentation of acute pancreatitis and an unusual etiology consisting of a post-traumatic diaphragmatic hernia.…”