Diaphragmatic herniation after 3 years of penetrating trauma managed through laparotomy: A case report. (February 2021)

• Record Type: Journal Article
• Authors: Dorgam Maués, Carolina Augusta; de Vasconcelos, Enny Luana Carmo; da Silva Galvão, Renato; Rios Rodriguez, Juan Eduardo; Bastos Voronaya, Alejandro Luis; de Castro, Gustavo Lopes
• Is Part Of: International journal of surgery case reports. Volume 79(2021)
• Page Start: 58
• Page End: 61
• Publication Date: 2021-02
• Subjects: Diaphragmatic rupture -- Chronic herniation -- Trauma -- Weight loss -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.12.079
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Diaphragmatic rupture is an uncommon trauma complication and it is most associated with blunt trauma. Left diaphragmatic herniations are more common, once the liver is not susceptible to herniate through small perforation right-sided. Chronic diaphragmatic herniation is associated with a higher morbimortality rate. Chronic diaphragmatic herniation may take years to manifest any symptoms, which are not associated with herniated content. Abstract: Introduction: Diaphragmatic rupture is an uncommon trauma complication and it is associated with chronic diaphragmatic herniation, especially in the left side. Chronic diaphragmatic herniation is usually due to white weapon injury and as consequence of low suspicious and absence of proper investigation. Case report: We report a chronic diaphragmatic herniation after three years of a stab in the left thoracoabdominal transition, managed through laparotomy. Discussion: Traumatic diaphragmatic rupture is a rare trauma consequence, most common in the left side. The herniation occurs gradually because of negative pressure of the thoracic cavity that works as a suction of the abdominal organs. Conclusion: Traumatic diaphragmatic ruptures diagnosis is difficult and might go unnoticed without high suspicious and proper investigation. Chronic herniation is associated with higher morbimortality.