Huge post-traumatic diaphragmatic hernia remained asymptomatic for 14 years. A case report
- 6 Downloads
A 27-year-old male had an abdominal violation in a prison 14 years before the display of his symptoms and was misdiagnosed as massive haemothorax. The patient remained asymptomatic for 14 years and his symptoms were only a mild dyspnoea and mild dysphagia. This patient had a huge chronic postdiaphragmatic hernia with most of the abdominal organs in the left hemithorax. A left thoracotomy was performed and a mesh was used to close the huge posttraumatic diaphragmatic hernia (diameter of 15 cm), after repositioning the abdominal organs. The left lung was completely consolidated and required dissection of multiple adhesions and high pressure manual ventilation to reexpand normally. Blunt post-traumatic diaphragmatic ruptures may be misdiagnosed and become chronic asymptomatic hernias for several years. Once they become symptomatic, they have to be treated as soon as possible as major organ injuries may be hidden.
KeywordsTraumatic diaphragmatic hernia Diaphragmatic rupture Dyspnoea
We would like to thank Mr. Iraklis Katsoulis, a general surgeon of our hospital, for his consultation and his help with this case.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The procedure performed in studies involving human participants was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from the patient included in the study.
- 3.Kuo IM, Liao CH, Hsin MC, et al. Blunt diaphragmatic rupture—a rare but challenging entity in thoracoabdominal trauma. Am J Emerg Med. 2012;30:919–24.Google Scholar
- 7.Ties JS, Peschman JR, Moreno A, et al. Evolution in the management of traumatic diaphragmatic injuries: a multicenter review. J Trauma Acute Care Surg. 2014;76:1024–8.Google Scholar