new syndrome, traumatic diaphragmatic hernia with symptoms developing several months after injury. He described the case of a French artillery captain who was shot in the chest by an arquebus. The missile penetrated the sternum, traversed the muscular portion of the diaphragm, and made an exit through the left fifth interspace. The captain’s external wound healed and he returned to duty. Therea...

BACKGROUND Traumatic diaphragmatic hernias are a diagnostic and therapeutic challenge due to variable presentations. Early repair is important because of risks of incarceration and strangulation of abdominal contents along with respiratory and cardiovascular compromise. Minimally invasive techniques have been useful for diagnosis and treatment of diaphragmatic hernias in both blunt and penetrat...

A highly unusual and interesting case of Ascaris worms emerging through an intercostalchest tube is reported here because of its association with presence of colo-pleural fistula associated with left post traumatic diaphragmatic hernia detected subsequently. Review of the literature revealed only one reported case of chest tube ascariasis not associated with colopleural fistula and only five re...

Diaphragmatic rupture during labor is uncommon and generally occurs in patients with a history of congenital diaphragmatic hernia or traumatic abdominal or chest injury. We present a case of a 41-year-old woman who presented with abdominal pain, vomiting and hypoventilation four days after a full-term home delivery. Chest radiography suggested the presence of a ruptured diaphragm, and laparotom...

Focal eventration of the diaphragm with transthoracic kidney is a very rare condition. It is usually asymptomatic and often revealed as an incidental finding on imaging studies. We presented a case of previously undiagnosed focal eventration of left hemidiaphragm with transthoracic left kidney confused with traumatic diaphragmatic hernia. Differentiation of these two conditions is important as ...

Med J Malaysia Vol 66 No 1 March 2011 SUMMARY Focal eventration of the diaphragm with transthoracic kidney is a very rare condition. It is usually asymptomatic and often revealed as an incidental finding on imaging studies. We presented a case of previously undiagnosed focal eventration of left hemidiaphragm with transthoracic left kidney confused with traumatic diaphragmatic hernia. Differenti...

Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to t...

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...

Références [1]Vachharajani A.J., Shah J.K., Paes B.A. Late onset left diaphragmatic hernia after group B streptococcal sepsis. J Pediatr Surg 2002; 37: 932-3. [2]-Garcia-Munoz F, Santana C, Reyes D et al. Early sepsis, obstructive jaundice and right-side diaphragmatic hernia in the new born. Acta Paediatr 2001; 90:96-8. [3]-Harris MC, Moskowitz WB, EngleWD et al. Group B streptococcal septicaem...

Received: Revised: Accepted: October 18, 2014 February 01, 2015 February 02, 2015 A 5-year-old, 5.4 kg, intact female mixed-breed dog presented with acute respiratory distress. Echocardiography showed pulmonary valvular stenosis with narrowing valvular annulus, ventricular septal defect, overriding aorta and the right ventricular hypertrophy. Other concurrent abnormality included sternal deform...