VARIOUS PRESENTATIONS OF TRAUMATIC DIAPHRAGMATIC HERNIA- A CASE SERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 38
Abstract
BACKGROUND Abstract traumatic diaphragmatic hernias can be caused by both severe blunt trauma as well as penetrating trauma with an incidence of 2-6%(1). They may have a mortality rate of upto 31% according to a recent study. (2) Sometimes traumatic diaphragmatic rupture may go unnoticed and often there is a delay between injury and diagnosis. Few cases have presented decades later after injury.(2) This article is a case report of variable presentation of traumatic diaphragmatic rupture that we encountered during last year. The first one was a bull gore injury that presented with acute breathlessness with a penetrating injury on (L) lower chest at the time of admission. Second one was a case of RTA with no evidence of chest and abdominal injury on admission. But one week later, he became dyspnoeic and on evaluation, he was found to have (L) diaphragmatic rupture with herniation of bowel into thoracic cavity through radiological findings. Third one was a two-year-old stab injury who presented to us with a history of non-specific abdominal pain on and off and was presenting with features of intestinal obstruction and was diagnosed as a delayed presentation of traumatic diaphragmatic hernia.
Authors and Affiliations
Mahalakshmi Ashok Kumar, Manimaran Thangavelu, Villalan Ramasamy, Rajeswari Appanamuthu Mari, Anandan Kanthan
Keywords
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- EP ID EP548116
- DOI 10.14260/jemds/2018/948
- Views 74
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