Rare Presentation of Spontaneous Acquired Diaphragmatic Hernia

Gupta, Shweta; Bali, Roseleen Kaur; Das, Kamanasish; Sisodia, Anula; Dewan, Richa; Singla, Rupak

doi:10.5005/ijcdas-53-2-117

Cited by 13 publications

(6 citation statements)

References 15 publications

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“…Acquired diaphragmatic hernias comprise less than 50% of diaphragmatic injuries and are mostly traumatic [7]. Patients often give history of a blunt trauma or road traffic accident [8] and remain undiagnosed in up to 33% cases during the immediate post-traumatic period [9].…”

Section: Discussionmentioning

confidence: 99%

When the scope would not pass: Diaphragmatic hernias

Khan

Ahmed

2022

Int J Case Rep Images

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Introduction: A diaphragmatic hernia is a condition characterized by herniation of the abdominal content(s) via a defect in the diaphragm. It may be congenital or may be preceded by a history of trauma. Case Series: Here we report two cases whose diaphragmatic hernias were detected on evaluation of a difficult gastroscopy. Both cases were those of young males who presented with non-specific gastrointestinal (GI) symptoms which warranted further evaluation with upper GI endoscopy and imaging. The first patient had a history of abdominal trauma during a road traffic accident. When scope negotiation proved to be difficult, they were both investigated and found to have displacement of the stomach within the mediastinum. Surgery was done followed by uneventful recovery in both patients. Conclusion: Diaphragmatic hernias do not always present in the background of typical settings and may be asymptomatic in many cases. However when any undue resistance is faced during endoscope negotiation, a high degree of clinical suspicion should be kept for any anatomical aberration—either congenital or acquired. This may ensure early detection and prevent life-threatening acute conditions as an acute gastric volvulus.

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Section: Discussionmentioning

confidence: 99%

When the scope would not pass: Diaphragmatic hernias

Khan

Ahmed

2022

Int J Case Rep Images

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“…The goal is to reduce the contents back into the abdominal cavity and repairing the defect in the diaphragm. Minimal invasive surgery in the form of laparoscopy or thoracoscopy offers us all the benefits in terms of lesser pain, shorter hospitalization, reduced respiratory complications, and early return to work [3,9]. Although data from randomized control trials is lacking results of both thoracoscopy or laparoscopy have been found to be comparable [9].…”

Section: Acute Phase (Time Between the Originalmentioning

confidence: 99%

“…Acquired DH is most commonly traumatic in origin, mainly due to penetrating or blunt trauma to the abdomen or thorax. Spontaneous DH is a rarity where the patient denies any history of trauma or symptoms and accounts for less than 1% of cases [3,4]. But a possibility of a previously forgotten trauma cannot be ruled out completely.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery for Diaphragmatic Hernia

Salgaonkar

Marimuthu

Sharples

et al. 2022

Mastering Endo-Laparoscopic and Thoracoscopic Surgery

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Diaphragmatic hernia (DH) is a rare entity, more commonly seen in children as compared to adults. It is classified as congenital or acquired. Most common cause of acquired hernia is following trauma. Management of DH is primarily surgical repair which can be performed by laparotomy, laparoscopy, thoracotomy, or thoracoscopy. Due to the rarity of the disease, there is a paucity of data in the literature regarding the best approach for the repair. With the advent of laparoscopy or thoracoscopy, these are the preferred options as it offers us all the known benefits associated with minimally invasive surgery (MIS). For the scope of this chapter, our focus will be on the role of thoracoscopy and laparoscopy in the management of adult DH, the technical details, and its associated complications.

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“…Management of diaphragmatic hernia is surgical and consists of reducing the viscera and sealing the diaphragmatic defect either by open thoracotomy or minimal access surgery. 18 The open approach allows not only diaphragmatic repair but also the management of potential complications, like perforation, strangulation and necrosis of the herniated organs. 5 In our case the defect was repaired by an open thoracotomy.…”

Section: Diaphragmatic Hernia Masquerading Hydropneumothoraxmentioning

confidence: 99%

Spontaneous Diaphragmatic Hernia Masquerading Hydropneumothorax

Jangpangi¹,

Gupta²,

Rawat³

et al. 2022

The Indian Journal of Chest Diseases and Allied Sciences

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Spontaneous diaphragmatic hernia without any apparent predisposing factor is a very rare condition. We report a case of 28-year-old male who presented with complaints of abdominal pain and gradually increasing breathlessness. Chest radiograph was suggestive of left-sided hydropneumothorax. Diagnosis of diaphragmatic hernia was confirmed by computed tomography. The defect was repaired by open thoracotomy and patient had an uneventful postoperative recovery.

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Rare Presentation of Spontaneous Acquired Diaphragmatic Hernia

Cited by 13 publications

References 15 publications

When the scope would not pass: Diaphragmatic hernias

When the scope would not pass: Diaphragmatic hernias

Minimally Invasive Surgery for Diaphragmatic Hernia

Spontaneous Diaphragmatic Hernia Masquerading Hydropneumothorax

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