TRAUMATIC RIGHT DIAPHRAGMATIC HERNIA; A DELAYED PRESENTATION

Authors

  • Qurrat Al Ain Atif Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad
  • Tanwir Khaliq Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad

Abstract

Diaphragmatic rupture following blunt or penetrating thoraco-abdominal trauma is frequently missed. It presents years later with herniation of abdominal viscera. Surgical treatment should be sought for when diagnosed. A 56 year old female presented to emergency with traumatic right diaphragmatic hernia, road traffic accident 8 years ago when she sustained multiple rib fractures on the right side. Upon diagnosis, successful primary hernia repair was performed. Non-specific clinical and radiological features of diaphragmatic hernia (diminished breath sounds, respiratory distress, orthopnoea, dyspnoea, hydro-pneumothorax, and mediastinal shift and lung collapse) lead to delayed or missed diagnosis. Patients present months to years later with complications. By including it in the differentials while managing a trauma patient along with collaboration of the radiology department, the chances of missing this finding would be lowered substantially.Keywords: Diaphragmatic hernia; Trauma; Intestinal obstruction

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Published

2016-08-24

Issue

Vol. 28 No. 3 (2016): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

License

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