A Delayed Traumatic Diaphragmatic Hernia Presenting With a Bowel Obstruction 20 Years Postinjury
Published: April 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.2898
Jonas P. DeMuro
1. Attending Surgeon & Intensivist
Winthrop University Hospital
Department of Surgery
Division of Trauma & Critical Care
259 First Street
Mineola NY 11501
Correspondence Address :
Jonas P. DeMuro,
Attending Surgeon & Intensivist
Winthrop University Hospital
Department of Surgery
Division of Trauma & Critical Care
259 First Street, Mineola NY 11501
E-mail: jdemuro@winthrop.org
Abstract
A delayed Traumatic Diaphragmatic Hernia is a rare diagnosis. A 38 years old male presented to our emergency department with an acute bowel obstruction. He had a prior trauma laparotomy twenty year’s prior, which was reportedly negative. He required preoperative resuscitation for his severe hypokalaemic, hypochloraemic metabolic alkalosis, and acute renal failure. He underwent operative reduction of the incarcerated contents, and a primary permanent suture repair of the defect. The principles of the diagnosis of the delayed traumatic diaphragmatic hernia, and the operative repair of this entity have been reviewed.
Keywords
Traumatic diaphragmatic hernia, Bowel obstruction, Delayed diagnosis, Occult injury