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...

A 68 yr old woman presented with acute respiratory failure. She was suspected of having a phrenic-diaphragmatic impairment, without evidence of an intrinsic lung disease or generalized neuromuscular disorder, after 3 weeks of prolonged mechanical ventilation. A series of studies, including fluoroscopy, phrenic nerve stimulation test and diaphragmatic electromyography, was performed before the d...

Diaphragmatic injuries (DI)-a frequent accompaniment of thoraco abdominal trauma remains a diagnostic challenge to surgeons and radiologists. (1-4) Case reports and case series describe myriad ways in which this condition can present early, or in a delayed fashion following either blunt or penetrating trauma (5-9). However it is important to recognize DI early because of the serious morbidity a...

INTRODUCTION Morgagni hernia is a rare entity that accounts for 3-5% of diaphragmatic hernias. They are mostly asymptomatic and discovered incidentally. Surgical treatment is indicated once diagnosis is made. Abdominal or thoracic accesses are possible using open or minimally invasive technique. METHODS We report two cases of laparoscopic assisted repair of Morgagni hernia conducted by primar...

Although catamenial hemothorax compared to pneumothorax is a rarer clinical presentation of thoracic endometriosis syndrome (TES), it is more commonly associated with diaphragmatic fenestrations. These openings may serve as entry portals for peritoneal fluid to access into the pleural space thereby perpetuating recurrent pleural effusion even after prior surgical pleurodesis. We report our expe...

Introduction Spleen is the largest lymphoid organ of the body. It is situated in the left hypochondrium of the abdomen. It is covered from all the sides by peritoneum and is closely related to the fundus of the stomach, left kidney, left colic flexure and the diaphragm. It has an anterior end and a posterior end; superior, inferior and intermediate borders; diaphragmatic and visceral surfaces. ...

Diaphragmatic injuries due to thoraco-abdominal penetrating trauma may often go unnoticed at the initial admission, especially in patients who are asymptomatic, with stable hemodynamic and respiratory parameters. Such occult diaphragmatic perforations can result in latent morbidity and mortality due to delayed trans-diaphragmatic herniation of the abdominal viscera leading to incarceration, str...

Few cases of catamenial pneumothorax with complete or partial diaphragmatic hernias are reported in the literature. We present herein the case of a 38-year-old woman affected by recurrent right-sided spontaneous pneumothorax during menstrual periods. CT scan revealed normal lung parenchyma and multiple diaphragmatic nodes suspected for endometrial implants. The patient underwent right thoracosc...

The most challenging diagnostic issue in the management of thoracoabdominal wounds concerns the assessment of asymptomatic patients. In almost one-third of such cases, diaphragmatic injuries are present even in the absence of any clear clinical signs. The sensitivity of noninvasive diagnostic tests is very low in this situation, and acceptable methods for diagnosis are limited to videolaparosco...

Coached efforts at diaphragmatic breathing were assessed as a means of increasing diaphragmatic movement in postoperative patients. Inductive plethysmography was used to measure compartmental tidal volumes of the abdomen (Vab) and the chest (Vc) in eight women (aged 41 +/- 16 years) who had no history of cardiovascular or pulmonary disease. These patients were studied before and after (POD1,3) ...