The article published in CHEST by Seelig and associates (January 1999)1 on a very rare complication of occult diaphragmatic hernia has an important theoretical and practical value. Like the authors, we found that the diagnosis of blunt traumatic rupture of the diaphragm may represent a challenge. In the majority of 13 patients managed at our clinic between 1989 and 2000, the fact of blunt thora...

Handlebar hernias are abdominal wall hernias resulting from direct trauma to the anterior abdominal wall and also called as Traumatic abdominal wall hernias (TAWHs). They usually occur at weak anatomic locations of the abdominal wall .The associated intra-abdominal injuries are infrequent. . Such traumatic hernias are rare. We report this case of a handlebar hernia resulting from an injury sust...

UNLABELLED INTRODUCTION Although blunt trauma to a hernia-containing bowel is known to cause bowel perforation, this report documents the first incident of a small bowel transection following a non-traumatic event. CASE PRESENTATION We report the case of a 49-year-old African American man with a chronic incarcerated inguinal hernia awaiting elective repair. He presented to the Emergency De...

Repair of traumatic abdominal wall hernia (TAWH) has been reported to be necessary. Reported here is one case of TAWH without repair. A 27-year-old man was accidentally sandwiched between a rock and a truck and admitted to our emergency department. There was a swelling of 10 cm in the right upper quadrant of the abdomen. The enhanced computed tomographic scan demonstrated a large abdominal wall...

The commonest situation is when the cardia slides through the oesophageal hiatus into the mediastinum (the sliding hernia); less commonly, the gastro-oesophageal junction remains in its correct position with the gastric fundus rolling alongside it through the hernia into the thoracic cavity (the rolling or paraoesophageal hernia) while in some cases the two conditions co-exist. A number of rare...

conclusions recurrence after repair of tdh is a less reported condition (with only two published articles) and little is known regarding the factors responsible for this. laparoscopy is an excellent diagnostic tool, but currently management is probably best performed via an open technique using heavy non-absorbable suture material to prevent recurrence. long term follow up of these patients sho...

The aim of this study was to evaluate the clinical, surgical and diagnostic imaging findings in 11 cats and 3 dogs with suspected acute and chronic traumatic diaphragmatic hernia, and to compare the results of positive contrast cheliography (peritoneography) taken immediately and 5 min after the injection of contrast material. Thoracic and abdominal radiography, ultrasonography, and positive co...

Lung hernia is a protrusion of lung tissue through one of its bounding structures. This uncommon condition develops most commonly as a result of trauma or after thoracic operations. Other lung hernias, particularly supraclavicular, are congenital. Diagnosis is usually clinical, but must be confirmed by roentgenography or computed tomography. Presence of incarceration or other symptoms makes ope...