Strangulated Diaphragmatic Hernia-A Rare Cause of Acute Intestinal Obstruction in Adults
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 10
Abstract
Abstract:Diaphragmatic hernia in the absence of trauma is very rare in adults. The literature describes less than a dozen such cases of right-sided diaphragmatic hernia .We present a rare case of spontaneous right side diaphragmatic hernia in adult patient without any h/o trauma. The Patient presented with acute pain abdomen, distention, vomiting and obstipation. Radiological investigations confirmed acute intestinal obstruction and multiple air-fluids levels, also in the right hemithorax, suspicious of diaphragmatic hernia. Exploratory laparotomy was performed and a loop of ileum herniating through a diaphragmatic defect was seen on the right side. Resection and anastomosis of the strangulated herniating loop was done. Diaphragmatic hernial defect was repaired. Keywords:Diaphragmatic Hernia, Intestinal obstruction, Strangulation, Congenital hernia.
Authors and Affiliations
Dr. A. S. Grover, Dr. Mukesh Goel, Dr. Abhitesh Singh, Dr. Guramritpal Singh, Dr. Sumeet Mahajan, Dr Jivtesh Singh
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