Spontaneous rupture of the diaphragm

Gupta, Vibhore; Singhal, Rishi; Ansari, Mohammed Z

doi:10.1097/00063110-200502000-00013

Cited by 30 publications

(13 citation statements)

References 1 publication

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“…2005 [19]1, F, 43CDH in Marfan’s syndromeChest X-ray, CT scanLaparoscopyRight hemi diaphragmPerforated gangrenous appendixGupta V Eur J Emerg Med. 2005 [104]1, M, 43Spontaneous ruptureCT scanLeft hemi diaphragmKara E Ann Acad Med Singapore 2004 [105]1, M, 28TraumaChest X-ray, CT scanLeft thoracotomyLeft hemi diaphragmGastric fundusSirbu H Hernia. 2005 [106]1, M, 67TraumaCT scanLaparotomy and right thoracotomyDelayed bilateral diaphragmatic rupturesDalton AM Emerg Med J.…”

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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“…Spontaneous diaphragmatic hernia is an uncommon entity that accounts for < 1% of diaphragmatic ruptures. 2 It is usually secondary to conditions that induce an increase in intra-abdominal pressure without any evidence of trauma, such as physical exercises, pilates, vomiting, coughing or delivery. 3 Although these are the most common causes, our patient did not report any of them.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

et al. 2016

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In this case report, we describe a rare case of spontaneous diaphragmatic hernia with perforation of the incarcerated ascending colon and subsequent formation of tension pneumothorax. A 73-year-old male with a past medical history of chronic right pleural effusion, restrictive ventilatory impairment and hypertension presented to us for evaluation of severe right chest pain of few days’ duration and severe dyspnoea. The chest radiograph revealed the presence of a loop of bowel in the basal right hemithorax with associated air/fluid levels. A CT scan of the chest confirmed the hydropneumothorax and revealed a right lower lobe ipo-expansion and a flogistic lung consolidation. After surgery, the patient underwent a contrast-enhanced CT scan of the chest, which showed no abnormal findings.

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“…They account for ca. 1% of similar diaphragm problems (Gupta et al, 2005). The causes are related to a rapid increase in abdominal pressure.…”

Section: Fig 8 Pilates Methods Breathingmentioning

confidence: 99%

Pilates Based Exercise in Muscle Disbalances Prevention and Treatment of Sports Injuries

Mętel¹,

Milert²,

Szczygieł³

2012

An International Perspective on Topics in Sports Medicine and Sports Injury

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Spontaneous rupture of the diaphragm

Abstract: A 42-year-old man was brought into the Accident and Emergency Department with epigastric discomfort and severe bradycardia. Computerized tomography of the chest revealed spontaneous rupture of the left hemidiaphragm with herniation of small bowel loops.

Cited by 30 publications

References 1 publication

Emergency surgery due to diaphragmatic hernia: case series and review

Emergency surgery due to diaphragmatic hernia: case series and review

Spontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax

Pilates Based Exercise in Muscle Disbalances Prevention and Treatment of Sports Injuries

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