Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report

Hariharan, Deepak; Singhal, Rishi; Kinra, Sonali; Chilton, Andrew

doi:10.1186/1471-230x-6-38

Cited by 11 publications

(12 citation statements)

References 15 publications

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“…There has been a case report of haematemesis and malena due to splenic vein thrombosis in a herniated thoracic spleen due to fundal varices 1. Our case highlights the need for immediate surgical intervention especially when x-rays could be misinterpreted.…”

Section: Introductionmentioning

confidence: 73%

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Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

Wani

Qurashi²,

Rehman³

et al. 2010

Case Reports

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SummaryDiaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Diaphragmatic ruptures are usually associated with abdominal trauma; however, it can occur in isolation. Acute traumatic rupture of the diaphragm may go unnoticed and there is often a delay between the injury and the diagnosis. Patients present with non-specific symptoms and may complain of chest pain, abdominal pain, dyspnoea, tachypnoea and cough, heartburn and symptoms of gastro-oesophageal reflux. Respiratory distress and faeco-pneumothorax have been reported. We present an interesting case of traumatic diaphragmatic hernia presenting 5 years after a road traffic accident as acute abdomen and massive haematemesis due to strangulated gangrenous gastric hernia. BACKGROUND

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Section: Introductionmentioning

confidence: 73%

“…There is a report of one case presenting with haematemesis and malena 1. This was due to splenic herniation into the left hemithorax, causing fundal varices due to splenic vein thrombosis leading to upper gastrointestinal bleed 28 years after the penetrating injury.…”

Section: Discussionmentioning

confidence: 99%

Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

Wani

Qurashi²,

Rehman³

et al. 2010

Case Reports

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“…Patients present with non-specific symptoms and may complain of chest pain, abdominal pain, dyspnoea, tachypnoea and cough. 20,21,22,23 A high index of suspicion together with the knowledge of the mechanism of trauma is the key factor for the correct diagnosis. 24,25,26 Our literature review confirmed cases presenting acutely with haemodynamic instability with abdominal pain some cases were reported to be asymptomatic diaphragmatic hernias.…”

Section: Presenting Symptommentioning

confidence: 99%

A Case Series of Diaphragmatic Injuries in Our Institute

Lingam¹,

Sabrena²,

Franklin³

et al. 2016

jemds

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BACKGROUNDDiaphragmatic rupture is a life-threatening condition. Diaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Diaphragmatic ruptures are usually associated with abdominal trauma; however, it can occur in isolation. Acute traumatic rupture of the diaphragm may go unnoticed and there is often a delay between the injury and the diagnosis. A comprehensive literature search was performed using the terms "delayed presentation of post-traumatic diaphragmatic rupture" and "delayed diaphragmatic rupture." The diagnostic and management challenges encountered are discussed together with strategies for dealing with them. We have focussed on mechanism of injury, duration, presentation and site of injury, viscera l herniation, investigations and different approaches for repair. We intend to stress on the importance of delay in presentation of diaphragmatic rupture and to provide a review on the available investigations and treatment methods. The enclosed case report also emphasizes on the delayed presentation, diagnostic challenges and the advantages of laparoscopic repair of delayed diaphragmatic rupture. 1,2,3

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“…Half of diaphragmatic ruptures that occur on the right side are associated with liver injury. Injuries occurring on the right side are associated with a higher rate of death and more numerous and serious accompanying injuries [19]. Bilateral diaphragmatic rupture, which occurs in 1-2% of ruptures, is associated with a much higher death rate (mortality) than injury that occurs on just one side.…”

Section: Site Of Rupturementioning

confidence: 99%

A review on Traumatic diaphragmatic ruptur

Lundgren¹,

Sh²,

Ar³

et al. 2017

Trauma Emerg Care

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Historical Vignette: Traumatic diaphragmatic hernia apparently was described by Sennertus, who in 1541 reported an instance of delayed herniation of viscera through an injured diaphragm. The first two deaths were described by Ambrose Paré in 1578, one from strangulated bowel. Ambroise Paré, in 1579, described the first case of diaphragmatic rupture diagnosed at autopsy. The patient was a French artillery captain who initially survived a gunshot wound of the abdomen, but died 8 months later of a strangulated gangrenous colon, herniating through a small diaphragmatic defect that would admit only the tip of the small finger. It was not until 1853 that ante mortem diagnosis of traumatic rupture of diaphragm was made by Bowditch. The first successful diaphragmatic repair was reported by Riolfi in 1886 in a patient with omental prolapse, and Naumann in 1888 repaired the defect with herniated stomach. The largest and the most comprehensive collective review was

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Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report

Cited by 11 publications

References 15 publications

Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

A Case Series of Diaphragmatic Injuries in Our Institute

A review on Traumatic diaphragmatic ruptur

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