Management Problems of Coincident Traumatic Diaphragmatic Hernia and Myocardial Infarction

Chidamdaram, M; Ks, Eyres; Szabolcs, Z; Mi, Ionescu

doi:10.1055/s-2007-1020070

Cited by 4 publications

(4 citation statements)

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“…1991 [125]2 casesBochdalek herniaX-ray of the chest and contrast studies of the gastrointestinal tractLaparotomyLeft hemi diaphragmIntestinal obstructionBush CA,South Med J 1990 [126]2 casesTraumaChest X-ray, barium studies of the gastrointestinal tract, CT scans, ultrasonography, laparoscopy, and radionuclide scanningLaparoscopyLeft hemi diaphragmIntestinal obstructionFeliciano DV, J Trauma 1988 [127]16 casesPenetrating traumaChest X-rayLaparotomyChidamdaram MThorac Cardiovasc Surg. 1988 [128]1, M, 32TraumaChest X-rayThoracotomyLeft hemi diaphragmStomachSymbas PN, Ann Thorac Surg 1986 [129]194 casesTraumaChest X-ray, barium studies exploratory laparotomyLaparotomyPrimary repairIn a case Prolene meshSaber WL, J Emerg Med 1986 [130]111 cases8 emergency surgeryTraumaChest X-ray7 left1 right hemi diaphragmGardezi SA, J Pak Med Assoc 1986 [131]2 cases1, M, 43Bochdalek herniaChest X-rayLaparotomyLeft hemi diaphragmTransverse colon and splenic flexure1 M 26 yCDHChest X-rayLaparotomyLeft hemi diaphragmGreater curvature of stomach, a small part of jejunum, left part of transverse colon and greater omentumBrown GL, Ann Thorac Surg 1985 [132]41 casesTraumaChest X-ray23 laparotomy, 13 thoracotomy, 5 combined29 Left,14 Right-sided, hemi diaphragm.Clark DE, Surgery 1983 [133]10 casesmedian age 40TraumaChest X-rayLeft hemi diaphragm M male, F female Y years …”

Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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BackgroundCongenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17–6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical signs and radiological investigations.MethodsFrom May 2013 to June 2016, six cases (four females, two males; mean age 58 years) of diaphragmatic hernia were admitted to our Academic Department of General Surgery with respiratory and abdominal symptoms. Chest X-ray, barium studies and CT scan were performed.ResultsCase 1 presented left diaphragmatic hernia containing transverse and descending colon. Case 2 showed left CDH which allowed passage of stomach, spleen and colon. Case 3 and 6 showed stomach in left hemithorax. Case 4 presented left diaphragmatic hernia which allowed passage of the spleen, left lobe of liver and transverse colon. Case 5 had stomach and spleen herniated into the chest. Emergency surgery was always performed. The hernia contents were reduced and defect was closed with primary repair or mesh. In all cases, post-operative courses were uneventful.ConclusionOverlapping abdominal and respiratory symptoms lead to diagnosis of diaphragmatic hernia, in patients with or without an history of trauma. Chest X-ray, CT scan and barium studies should be done to evaluate diaphragmatic defect, size, location and contents. Emergency surgical approach is mandatory reducing morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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“…Klinické projevy UDS se mohou pohybovat na škále od postprandiální nevolnosti přes zvracení, pyrózu a dysfagii až po bolest za sternem či v epigastriu [1][2][3][4]. Bylo ovšem popsáno také několik případů UDS s příznaky odpovídajícími akutnímu koronárnímu syndromu [3][4][5]. Třicet procent nemocných s UDS má sklon k chronickému i akutnímu gastrointestinálnímu krvácení, k perforaci žaludku, uskřinutí či volvulu, přičemž tyto komplikace zvyšují jejich mortalitu [1][2][3][4].…”

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"Acute coronary syndrome" and heart failure caused by a large hiatal hernia

et al. 2018

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Převrácený žaludek (upside down stomach,UDS) představuje závažnou formu hiátové hernie, jež se může projevit různými klinickými scénáři. Pacienti mohou být asymptomatičtí, ovšem může u nich také dojít k hemodynamickému kolapsu v důsledku mechanické komprese mediastina. Přinášíme kasuistiku 71leté ženy odeslané na naše pracoviště s diagnózou akutního koronárního syndromu provázeného akutním rozvojem srdečního selhání, jež byla pro zmíněné stavy náležitě léčena. V průběhu diagnostického a léčebného procesu u ní byl odhalen uskřinutý UDS jako spouštěč ostatních příznaků. Následně byla indikována akutní operace. Navzdory komplikovanému pooperačnímu průběhu se nemocná úspěšně zotavila a byla předána do péče rehabilitačního pracoviště.

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Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

et al. 2020

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Introduction Complicated diaphragmatic hernia (DH) can be congenital or acquired. Congenital diaphragmatic hernias (CDH) are rare and often can be asymptomatic until adulthood. Traumatic diaphragmatic hernia (TDH) is a complication that occurs in about 1–5% of victims of road accidents and in 10–15% of penetrating traumas of the lower chest. CDH and TDH are potentially life‐threatening conditions, and the management in emergency setting still debated. This study aims to evaluate the surgical treatment options in emergency setting. Methods A bibliographic research reporting the item “emergency surgery” linked with “traumatic diaphragmatic rupture” and “congenital diaphragmatic hernia” was performed. Several parameters were recorded including sex, age, etiology, diagnosis, treatment, site and herniated organs. Results The research included 146 articles, and 1542 patients were analyzed. Most of the complicated diaphragmatic hernias occurred for a diaphragmatic defect due to trauma, only 7.2% occurred for a congenital diaphragmatic defect. The main diagnostic method used was chest X‐ray and CT scan. Laparotomic approach still remains predominant compared to the minimally invasive approach. Conclusion Surgery is the treatment of choice and is strongly influenced by the preoperative setting, performed mainly with X‐ray and CT scan. Minimally invasive approach is safe and feasible but is highly dependent on the surgeon's expertise, especially in emergency setting.

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Management Problems of Coincident Traumatic Diaphragmatic Hernia and Myocardial Infarction

Cited by 4 publications

References 1 publication

Emergency surgery due to diaphragmatic hernia: case series and review

Emergency surgery due to diaphragmatic hernia: case series and review

"Acute coronary syndrome" and heart failure caused by a large hiatal hernia

Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

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