Management of Delayed Presentation of a Right‐Side Traumatic Diaphragmatic Rupture

Abstract

Clinical presentation of late diagnosed diaphragmatic hernia, which is encountered only rarely on the right side, requires diagnostic and therapeutic approaches different from those associated with acute diaphragmatic rupture. It should not be forgotten during the differential diagnosis in patients with a history of trauma.

Diaphragmatic rupture: a single-institution experience and review of the literature

“…Polytetrafluoroethylene, polyethylene terephthalate, and polypropylene are the most common materials used in prosthetic patches to repair DR; some cases with patch infection followed by hernia recurrence have been reported in the literature. [37] We believe that primary repair with non-absorbable sutures is the best technique for diaphragm repair and that prosthetic mesh should be placed when a lack of substance is detected, as usually occurs in delayed presentation of DR.…”

Traumatic diaphragmatic rupture with combined thoracoabdominal injuries: Difference between penetrating and blunt injuries

“…When CT scan results remain equivocal, coronal and sagittal MRI has proven very useful for small injury. [16][17][18][19][20][21] Penetrating TDR is more easily missed than blunt, as the hernia seldom develops because of usually small rent of the diaphragm (If it did develop, the herniated contents would have been strangulated easily). Chest X-rays are not very helpful in penetrating TDR.…”

Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty

“…Diaphragmatic hernias which present in adulthood are commonly trauma-related; however, other etiologies can also be observed with hiatal and paraesophageal being the most common (Table 1) [4–8]. Traumatic diaphragmatic hernias occur from injury to the musculotendinous membrane and are believed to predominantly occur on the left as a result of the anatomically protective location of the liver.…”