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Revista Cubana de Cirugía

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2015, Number 3

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Revista Cubana de Cirugía 2015; 54 (3)

Diaphragmatic traumatic hernia in the little boy

Domínguez GEJ, Ramón NER, Carrazana AM, Puente FCJ, Romero SMI, Nápoles OL
Full text How to cite this article

Language: Spanish
References: 7
Page: 256-262
PDF size: 111.36 Kb.


Key words:

traumatic diaphragmatic hernia, reduction, phrenorraphy.

ABSTRACT

Traumatic diaphragmatic hernia is a rare illness at pediatric ages. The objective of this paper was to report a case of diaphragmatic hernia secondary to closed thoracoabdominal trauma. This patient is a 12 years-old boy admitted to the pediatric surgery service of Santiago de Cuba province because of an accident at home (a brick wall fell down upon his body) that caused him cranial, thoracic and lumbar traumas. The radiological studies confirmed the diagnosis of traumatic diaphragmatic hernia on the left side. During the surgical act, there was observed an almost 15cm left diaphragm defect with hernias in stomach, spleen and colon. Reduction and phrenorraphy were performed using mattress sewing stitch type, polyester 0 plus left low minimal pleurostomy. The progression of the patient was satisfactory and was discharged from hospital ten days after surgery to be followed up in the outpatient service for 6 months until his complete recovery.


REFERENCES

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  2. Pacheco R, Galindo J. Hernia diafragmática traumática de aparición precoz. Rev Soc Bol Ped. 2003[citado mayo 2014];42:170-2. Disponible en: http://www.scielo.org.bo/scielo.php?pid=S1024- 06752003000300004&script=sci_arttext&tlng=es

  3. Ramos CT, Koplewitz BZ, Babyn PS, Manson PS, Ein SH. Whathave we learned about traumatic diaphragmatic hernias in children? J Pediatr Surg. 2000[Citado mayo 2014];35(4):601-4. Disponible en: http://www.jpedsurg.org/article/S0022- 3468%2800%2981200-2/abstract

  4. Friedlaender E, Tsarouhas N. Ruptura diafragmática traumática en pacientes pediátricos. Philadelphia Pediatr Emerg Care. 2003;19(5):340-2.

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  6. De La Torre CA, Miguel M, Vázquez J, Ramírez M, Barrena S, Hernández F, et al. Hernia diafragmática traumática: necesidad vital de un diagnóstico precoz. Cir Pediatr. 2011[Citado mayo 2014];24(1):3-7. Disponible en: http://www.secipe.org/coldata/upload/revista/2011_24-1_3-7.pdf

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Revista Cubana de Cirugía. 2015;54