Traumatic right diaphragmatic hernia in children: Diagnostic difficulties

Traumatic Right Diaphragmatic Hernia; A Delayed Presentation.

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 sid...

[Case of right-sided traumatic diaphragmatic hernia in child].

Traumatic diaphragmatic hernia.

Rupture of the diaphragm and herniation of the abdominal viscera into the chest are wellrecognized results of crushing or penetrating injuries. Gordon Bryan's study (1921) of both types of injury is a surgical classic. The second world war rekindled interest in traumatic diaphragmatic hernia, and several important papers dealt with those due to penetrating injury (Edwards, 1943; Mackey and Bing...

[Traumatic diaphragmatic hernia].

A series of 58 cases of traumatic diaphragmatic hernia following blunt and penetrating injury is reviewed. The problems of radiodiagnosis are outlined and the need for barium contrast studies of the entire gastrointestinal tract to ensure recognition of isolated small bowel herniation is emphasized. Surgical access via laparotomy is recommended in the immediate post-traumatic presentation, wher...

Delayed traumatic diaphragmatic hernia

BACKGROUND Traumatic diaphragmatic hernias (TDHs) are sometimes difficult to identify at an early stage and can consequently result in diagnostic delays with life-threatening outcomes. It is the aim of this case study to highlight the difficulties encountered with the earlier detection of traumatic diaphragmatic hernias. METHODS Clinical data of patients who received treatment for delayed tra...