Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2012, Issue 1


Menéndez-Sánchez P, Villarejo-Campos P, Padilla-Valverde D, Sánchez-García S, Jara-Sánchez A
Delayed intestinal obstruction due to posttraumatic diaphragmatic hernia
Cir Cir 2012; 80 (1)

Language: Español
References: 13
Page: 72-75
PDF: 294.02 Kb.


Texto completo


ABSTRACT

Background: Diaphragmatic rupture can be missed during trauma diagnosis. Different pressures between the thorax and the abdomen allow the abdominal viscera to herniate into the chest cavity. Cardiorespiratory and abdominal symptoms may appear later due to passive compression and incarceration, respectively.
Clinical case: We report the case of a 52-year-old female with abdominal pain and vomiting. Chest x-ray demonstrated an elevation of the right hemidiaphragm, and computed tomography showed herniation of small bowel and colon into the chest cavity with dilated small bowel due to a diaphragmatic hernia.
Conclusions: History of traumatic events should be considered with high suspicion in the diagnostic process to avoid delayed diagnosis of this condition. The nonspecific symptoms of this condition often lead the patient to consult different specialists. A multidisciplinary approach is required and aimed at preventing an unnecessary increase of morbidity and mortality.


Key words: diaphragmatic hernia, intestinal obstruction, posttraumatic hernia.


REFERENCIAS

  1. Pérez Grobas J, Berdeal Díaz M, Alvite Canosa M, Seoane Vigo M, López García S, Llano Monelos P, et al. Acute abdomen after a posttraumatic diaphragmatic hernia. Rev Esp Enferm Dig 2009;101:517-519.

  2. Crandall M, Popowich D, Shapiro M, West M. Posttraumatic hernias: historical overview and review of the literature. Am Surg 2007;73:845-850.

  3. Ruiz-Tovar J, Calero García P, Morales Castiñeiras V, Martínez Molina E. Posttrauma diaphragmatic hernia. Rev Gastroenterol Peru 2008;28:244-247.

  4. Matsevych OY. Blunt diaphragmatic rupture: four year's experience. Hernia 2008;12:73-78.

  5. Peer SM, Devaraddeppa PM, Buggi S. Traumatic diaphragmatic herniaour experience. Int J Surg 2009;7:547-549.

  6. Cerdán-Pascual R, Cantín-Blázquez S, Bernal-Jaulín J, Barranco-Domínguez JI, Ruiz-Montoya J, Esarte-Muniain JM. Traumatic diaphragmatic rupture. A review of seven cases. Cir Cir 2006;74:425-429.

  7. Sattler S, Canty TG Jr, Mulligan MS, Wood DE, Scully JM, Vallieres E, et al. Chronic traumatic and congenital diaphragmatic hernias: presentation and surgical management. Can Respir J 2002;9:135-139.

  8. Beigi AA, Masoudpour H, Sehhat S, Khademi EF. Prognostic factors and outcome of traumatic diaphragmatic rupture. Ulus Travma Acil Cerrahi Derg 2010;16:215-219.

  9. Gwely NN. Outcome of blunt diaphragmatic rupture. Analysis of 44 cases. Asian Cardiovasc Thorac Ann 2010;18:240-243.

  10. Kishore GS, Gupta V, Doley RP, Kudari A, Kalra N, Yodav TD, et al. Traumatic diaphragmatic hernia: tertiary centre experience. Hernia 2010;14:159-164.

  11. Shanmuganathan K, Mirvis SE. Imaging diagnosis of nonaortic thoracic injury. Radiol Clin North Am 1999;37:533-551.

  12. Murray JA, Demetriades D, Asensio JA, Cornwell EE, Velmahos GC, Belzberg H, et al. Occult injuries to the diaphragm: prospective evaluation of laparoscopy in penetrating injuries to the left lower chest. J Am Coll Surg 1998;187:626-630.

  13. Ben-Nun A, Orlovsky M, Best LA. Video-assisted thoracoscopic surgery in the treatment of chest trauma: long-term benefit. Ann Thorac Surg 2007;83:383-387.






>Journals >Cirugía y Cirujanos >Year 2012, Issue 1
 

· Journal Index 
· Links 






       
Copyright 2019