THREE CASES OF TRAUMATIC DIAPHRAGMATIC HERNIA

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...

Diaphragmatic hernia associated with accessory lung. Report of three cases.

Delayed presentation of post traumatic diaphragmatic hernia

Blunt traumatic diaphragmatic rupture is an uncommon but severe problem that is usually seen in polytraumatized patients including blunt abdomino-thoracic trauma due to road traffic accidents, fall from height and penetrating injuries. Regardless of the mechanism, diagnosis is often missed and high index of suspicion is vital. Late presentations are associated with increased morbidity. We repor...