recurrence in a laparoscopically repaired traumatic diaphragmatic hernia: case report and literature review
Authors
abstract
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 should also be considered. introduction traumatic diaphragmatic hernia (tdh) develops infrequently following a traumatic diaphragmatic rupture (tdr). as tdr is frequently missed due to lack of sensitive and specific imaging modalities, a high index of suspicion for such injuries is essential, whether immediately posttraumatic, or even decades after the trauma. we describe a rare case of recurrence in a laparoscopically repaired tdh and review the current literature on the same. case presentation a 23-year-old male with a history of primary laparoscopic repair of left-sided tdr two years ago presented with symptoms of acute large bowel obstruction. his chest x-ray showed a left-sided pleural effusion and a loop of the bowel in the left hemithorax, but no signs of free gas. an abdominal x-ray (axr) demonstrated massively dilated large bowel with distension of the small bowel. at laparotomy, the obstructing lesion consisted of the large bowel with omentum herniated through the left hemidiaphragm, consistent with a left recurrent/chronic diaphragmatic hernia. the diaphragmatic defect was repaired with interrupted nylon. the patient made an uneventful recovery.
similar resources
Recurrence in a Laparoscopically Repaired Traumatic Diaphragmatic Hernia: Case Report and Literature Review
INTRODUCTION Traumatic diaphragmatic hernia (TDH) develops infrequently following a traumatic diaphragmatic rupture (TDR). As TDR is frequently missed due to lack of sensitive and specific imaging modalities, a high index of suspicion for such injuries is essential, whether immediately posttraumatic, or even decades after the trauma. We describe a rare case of recurrence in a laparoscopically r...
full textAnesthetic management of diaphragmatic hernia repair in a dog: a case report and literature review of anesthetic techniques
This case report describes the anesthetic management and ventilation technique in the surgical treatmentof traumatic diaphragmatic hernia in a dog. A 5-month-old 8-kg female terrier with a history of car accidentwas presented for femoral fracture repair. Before anesthetic induction, marked tachypnea and dyspnea werenoted. Diaphragmatic hernia was diagnosed based upon radiographic and ultrasonog...
full textTraumatic diaphragmatic hernia. A case report.
A traumatic diaphragmatic hernia is caused as a result from blunt or penetrating trauma and occurs in about 5% of cases of severe blunt trauma to the trunk. Early diagnosis of traumatic diaphragmatic hernia is necessary to decrease morbidity and mortality associated with it. This case report describes the case of 18-year-old male who had an accidental fall from the tree and had a diagnosis of t...
full textPost-Traumatic Peritoneopericardial Diaphragmatic Hernia: A Case Report
The most common cause of traumatic diaphragmatic rupture is blunt or penetrating thoraco-abdominal trauma. The proper diagnosis can be difficult to make due to the non-specific clinical picture. The surgical approach in managing diaphragmatic rupture includes laparotomy, thoracotomy, or both. This article presents a case of a 60year-old woman with post-traumatic peritoneopericardial diaphragmat...
full textSurgical management of feline traumatic diaphragmatic hernia – a case report
A 2 year old queen cat was presented with clinical signs of shock, dyspnea, tachycardia and vomiting, after being fallen from height. Right lateral plain radiography identified a diaphragmatic hernia with its characteristic radiographic signs. Obligation of proper pre-anaesthetic stabilization, surgical techniques and maintenance of adequate postoperative measures was rewarded with uncomplicate...
full textMy Resources
Save resource for easier access later
Journal title:
trauma monthlyجلد ۲۱، شماره ۱، صفحات ۰-۰
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023