oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
HERNIA DIAFRAGMATICA TRAUMATICA COMPLICADA: PRESENTACION COMO ILEO MECANICO DE COLON
Llanos C,Jorge; Paredes S,Natalia; Schiappacasse F,Giancarlo; Escalona P,Alex; O`Brien S,Andrés;
Revista chilena de radiología , 2005, DOI: 10.4067/S0717-93082005000400004
Abstract: traumatic injuries of the diaphragm are a known consequence of severe trauma, usually of the blunt type. its incidence is increasing due to the rise in number and severity of accidents, especially car accidents. diagnosing a traumatic diaphragmatic rupture is still a challenge for both radiologists and surgeons, with a delayed diagnosis in more than half of cases, with the consequent development of latent hernia. this hernia may manifest with symptoms varying from unspecific to bowel strangulation. we present the case of a patient with colonic obstruction secondary to a traumatic diaphragmatic hernia, with previous history of a penetrating thoracoabdominal trauma seven years before. radiologic methods and signs for the diagnosis of this pathology are reviewed
Delayed presentation of a traumatic diaphragmatic hernia  [cached]
Chi-Tun Tang,Ming-Ying Liu,Chi-Tun Tang
Signa Vitae , 2011,
Abstract: Delayed presentation of a traumatic diaphragmatic hernia is an infrequent condition with a high mortality and morbidity rate. This case describes a 26-year-old man presenting with a 2-day history of cramping abdominal pain, dyspnea, nausea, and vomiting. The patient reported a penetrating thoracic injury one year prior to the development of clinical signs. Computed tomography revealed the presence of empyema or parapneumonic effusion of the left hemithorax. Based on the clinical history and physical findings, a diaphragmatic hernia was considered and an emergency laparotomy with segmental resection of strangulated jejunum and reduction of remaining bowel was performed. A 1.5 cm tendinous defect was identified and repaired. The patient recovered and was discharged uneventfully.Conclusion: the early recognition of a delayed diaphragmatic hernia contributed to the uneventful recovery of this critically ill patient.
Traumatic diaphragmatic hernia-late presentation  [cached]
Rao PLNG,Katariya R
Journal of Postgraduate Medicine , 1979,
Abstract: The traumatic diaphragmatic hernia is an established con-sequence of modern high speed transportation. Late presentation of traumatic diaphragmatic hernia is an uncommon surgical problem. Two cases of latent and obstructive traumatic diaphragmatic hernia have been presented. The clinical presentation, the diagnostic problems and the management of such cases are discussed.
Traumatic diaphragmatic hernia: case report  [cached]
Miguel Angel Serra Valdés,Mario Achon Polhamus,Maria de Lourdes Menéndez Villa,Liudmila Carnesoltas Suarez
Medwave , 2013,
Abstract: Introduction. Traumatic diaphragmatic hernias occur after blunt or penetrating trauma. The case reported in this article is an incidental and unusual diagnosis in clinical practice. Case. We report a woman with a history of thoraco-abdominal trauma from a road accident that occurred 30 years ago. In the chest X-ray we found a radioopacity in the right lung base resulting from a respiratory infection. The image persisted in spite of effective treatment for the underlying respiratory condition, which made us suspect a diaphragmatic hernia corroborated by computed tomography. Discussion. A high level of suspicion is essential for the initial evaluation of patients with blunt or penetrating thoraco-abdominal trauma. Conclusions. Traumatic diaphragmatic hernias constitute a clinical challenge both for diagnosis and surgical treatment.
Diaphragmatic hernia with strangulated loop of bowel presenting after colonoscopy: case report
Sandeep S Sodhi, Loren A Zech, Vijay Batura, Sampath Kulasekhar
International Archives of Medicine , 2009, DOI: 10.1186/1755-7682-2-38
Abstract: We present the case of a 57 year old man with remote history of traumatic injury who first presented with vague left shoulder pain for two weeks, mild anemia, and tested positive for fecal occult blood. Four days post colonoscopy the patient was found to have a strangulated loop of bowel herniated through the diaphragm into the left hemithorax.In patients with previous history of serious traumatic injury and particularly those with previous splenectomy, a thorough history and physical examination before routine colonoscopy is important. A high level of suspicion for post-operative complications should also be maintained when assessing such patients.While data on the incidence of colonic perforation during diagnostic colonoscopy has been reported (0.045-0.65%)[1], the incidence of diaphragmatic hernias caused or exacerbated by diagnostic colonoscopy is not well defined. Case reports of transdiaphragmatic hernia first discovered during colonoscopy do exist [1-3]. One case of near fatal pneumothorax and ARDS developed after routine colonoscopy is present in the literature.[1]It is believed that diaphragmatic injury occurs in 5% of patients with multiple traumatic injuries. Among diaphragmatic injuries resulting from blunt trauma, 70% occur on the left side primarily because the right hemidiaphragm is protected by the liver.[4] The incidence of post-traumatic diaphragmatic hernias, in general, is uncertain. Post-traumatic diaphragmatic hernias result from blunt trauma injuries such as motor vehicle accidents in approximately 80% of cases. Penetrating trauma, such as stab wounds and gunshots, are associated with the remaining 20% of cases.[4] Blunt trauma injuries are more likely to lead to herniation of abdominal contents into the thoracic cavity than are penetrating injuries primarily because the resulting diaphragmatic defect is usually larger.[4] Diaphragmatic injury may not yield herniation immediately. Over time, however, the relatively higher abdominal cavity pres
Delayed Presentation of Traumatic Diaphragmatic Rupture with Herniation of the Left Kidney and Bowel Loops  [PDF]
Amiya Kumar Dwari,Abhijit Mandal,Sibes Kumar Das,Sudhansu Sarkar
Case Reports in Pulmonology , 2013, DOI: 10.1155/2013/814632
Abstract: Rupture of the diaphragm mostly occurs following major trauma. We report a case of delayed presentation of traumatic diaphragmatic hernia on the left side in a 44-year-old male who presented two weeks after a minor blunt trauma. Left kidney and intestinals coils were found to herniate through the diaphragmatic tear. This case demonstrates the importance of considering the diagnosis in all cases of blunt trauma of the trunk. It also illustrates the rare possibility of herniation of kidney through the diaphragmatic tear. 1. Introduction Traumatic diaphragmatic hernias (DH) represents only small percentage of all diaphragmatic hernias but it is no longer an uncommon entity. Injury is mostly caused by severe blunt or penetrating trauma [1]. DH may be recognized during the period of hospitalization immediately following trauma. If the diaphragmatic injury is not recognized during the immediate posttraumatic period, the patient may recover and remain symptom free or present either with chronic thoracoabdominal symptoms or with acute emergency due to intestinal strangulation [2]. During the delayed presentation with chronic thoracoabdominal symptoms, the trauma responsible for the injury is often forgotten and the diagnosis is not suspected. A careful history, physical examination, and awareness of the possibility are the prerequisite for timely diagnosis. Abdominal organs that commonly herniate are stomach, spleen, liver, mesentery, and small and large bowels. Kidney is rarely found to herniate through the diaphragmatic tear [3]. The case is unique due to occurrence of the DH with minor trauma, its delayed presentation, and herniation of the left kidney into the thorax. 2. Case Report A 44-year-old male patient was kicked in his left lower chest and upper abdomen by a neighbour during a family quarrel. Considering it to be a minor trauma, he continued his daily activities for the next two weeks. He presented to pulmonary medicine outpatient department with left sided dull aching chest pain and nonproductive cough for ten days. There was no history of abdominal pain or haematuria. On examination, he was afebrile but dyspneic (MMRC grade 2) with respiratory rate of 22 breaths/min, oxygen saturation of 96% with room air, pulse rate of 90/min, and blood pressure of 138/84?mm of Hg. On examination of the chest, there was dull note over left infraclavicular area and bowel sounds were audible over the left side of the chest. Examination of other systems was within normal limits. His chest X-ray PA view revealed a heterogeneous opacity in left lower zone but no
HERNIA DIAFRAGMATICA TRAUMATICA COMPLICADA: PRESENTACION COMO ILEO MECANICO DE COLON
Jorge Llanos C,Natalia Paredes S,Giancarlo Schiappacasse F,Alex Escalona P
Revista Chilena de Radiología , 2005,
Abstract: : Las lesiones traumáticas del diafragma son consecuencia conocida de un trauma grave, gene-ralmente de tipo contuso. Su incidencia ha aumentado debido al crecimiento en número y severidad de los accidentes, en especial del tránsito. Su diagnóstico continúa siendo un desafío para cirujanos y radiólogos, diagnosticándose tardíamente hasta en más de la mitad de los casos, dejando una hernia diafragmática latente, que puede manifestarse con síntomas que varían desde inespecíficos hasta la estrangulación de un asa intestinal. Se presenta el caso de un paciente con obstrucción intestinal de colon secundaria a una hernia diafragmática traumática atascada, con historia de un traumatismo penetrante toracoabdominal ocurrido siete a os antes. Se revisan los métodos y signos radiológicos de mayor utilidad para el diagnóstico de esta patología Traumatic injuries of the diaphragm are a known consequence of severe trauma, usually of the blunt type. Its incidence is increasing due to the rise in number and severity of accidents, especially car accidents. Diagnosing a traumatic diaphragmatic rupture is still a challenge for both radiologists and surgeons, with a delayed diagnosis in more than half of cases, with the consequent development of latent hernia. This hernia may manifest with symptoms varying from unspecific to bowel strangulation. We present the case of a patient with colonic obstruction secondary to a traumatic diaphragmatic hernia, with previous history of a penetrating thoracoabdominal trauma seven years before. Radiologic methods and signs for the diagnosis of this pathology are reviewed
Post Traumatic Diaphragmatic Hernia Revealing a Colonic Tumor  [PDF]
Mohammed Elkehal, Sani Rabiou, Boubacar Efared, Saad Slaiki, Hicham Elbouhadouti, Yassine Ouadnouni, Nawal Hammas, Taoufiq Harmouch, Mohamed Smahi
Open Journal of Thoracic Surgery (OJTS) , 2016, DOI: 10.4236/ojts.2016.63003
Abstract: Post traumatic diaphragmatic injuries have long been known. However their varied clinical, expressions lead to difficulties which cause its delay. The occurrence of herniation of hollow viscera in the thoracic cavity followed by its necrosis or perforation, is a delayed complication, a rare entity with a poor prognosis. The discovery of a colonic tumor in a diaphragmatic hernia is an exceptional clinical circumstance. Here we report the case of a patient with a complicated diaphragmatic hernia, whose symptoms are precipitated by the presence of a colon stenosing tumor. The management consisted of an exclusive laparotomy had allowed dealing in one surgical intervention with both the abdominal and thoracic injuries.
Delayed presentation of blunt traumatic diaphragmatic hernia: A case report
AT Kidmas, D Iya, ES Isamade, E Ekedigwe
Nigerian Journal of Surgical Research , 2005,
Abstract: Blunt traumatic diaphragmatic rupture is an uncommon but severe problem that is usually seen in poly-traumatized patients. Diagnosis is often difficult resulting in delayed presentation and increased morbidity. We report a case of blunt traumatic diaphragmatic hernia in a 39-year-old man presenting 10 years after the initial abdomino-thoracic injury sustained in a road traffic accident. He had herniation of the spleen and stomach. Through a left thoracotomy, the herniated organs were reduced and diaphragmatic defect closed with interrupted nylon sutures. A high index of suspicion would minimize the morbidity and mortality associated with delayed diagnosis.
Post-Traumatic Right Diaphragmatic Hernia with Hepatothorax  [PDF]
Elias Amorim, Frederico Berniz Arag?o, Armando Veiga, Alexandre Porto Galdez
Open Journal of Thoracic Surgery (OJTS) , 2018, DOI: 10.4236/ojts.2018.81001
Abstract: Introduction: Traumatic right diaphragmatic hernia is an extremely rare entity, given the protection afforded by the liver. Clinical Case: A 51-year-old women who suffered a road-traffic accident presented with a heavy sensation and several episodes of moderate pain in the left hemithorax. Physical and radiological exams revealed a traumatic right hernia. Discussion: The diagnosis of hernia should be established as quickly as possible to reduce morbidity and mortality. Treatment of the injury is always surgical and outcome is invariably positive. Conclusion: The diagnosis of diaphragmatic hernia should
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.