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Blunt Traumatic Hernia of Diaphragm With Late Presentation
BACKGROUND: Diaphragmatic hernia after blunt trauma is an uncommon and often undiagnosed condition. OBJECTIVES: We aimed to review patients who presented with delayed blunt traumatic hernia of diaphragm. PATIENTS AND METHODS: In this retrospective study, the medical records of six patients treated f...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3876542/ https://www.ncbi.nlm.nih.gov/pubmed/24396754 http://dx.doi.org/10.5812/atr.7593 |
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author | Davoodabadi, Abdolhossein Fakharian, Esmaeil Mohammadzadeh, Mahdi Abdorrahim Kashi, Esmaeil Mirzadeh, Azadeh Sadat |
author_facet | Davoodabadi, Abdolhossein Fakharian, Esmaeil Mohammadzadeh, Mahdi Abdorrahim Kashi, Esmaeil Mirzadeh, Azadeh Sadat |
author_sort | Davoodabadi, Abdolhossein |
collection | PubMed |
description | BACKGROUND: Diaphragmatic hernia after blunt trauma is an uncommon and often undiagnosed condition. OBJECTIVES: We aimed to review patients who presented with delayed blunt traumatic hernia of diaphragm. PATIENTS AND METHODS: In this retrospective study, the medical records of six patients treated for blunt diaphragmatic hernias who were admitted to Kashan Shahid Beheshti hospital between June 2007 and June 2011 were analyzed. RESULTS: Six patients with mean age of 41 years were included in the study. Male to female ratio was 2:1. Mean duration between trauma and admission to the hospital was 6.5 years (2 – 26 years). Five patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic in 50 percent of the cases (n = 4). Additional diagnostic imaging with computerized tomography (CT) was used in six patients and upper gastrointestinal (GI) contrast study was performed in one patient. All patients underwent thoracotomy incision. Mesh repair was utilized in one patient. The mean hospitalization time was 14.1 days. There was one postoperative death (16.7%). CONCLUSIONS: Late presentation of blunt diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ. |
format | Online Article Text |
id | pubmed-3876542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-38765422014-01-06 Blunt Traumatic Hernia of Diaphragm With Late Presentation Davoodabadi, Abdolhossein Fakharian, Esmaeil Mohammadzadeh, Mahdi Abdorrahim Kashi, Esmaeil Mirzadeh, Azadeh Sadat Arch Trauma Res Research Article BACKGROUND: Diaphragmatic hernia after blunt trauma is an uncommon and often undiagnosed condition. OBJECTIVES: We aimed to review patients who presented with delayed blunt traumatic hernia of diaphragm. PATIENTS AND METHODS: In this retrospective study, the medical records of six patients treated for blunt diaphragmatic hernias who were admitted to Kashan Shahid Beheshti hospital between June 2007 and June 2011 were analyzed. RESULTS: Six patients with mean age of 41 years were included in the study. Male to female ratio was 2:1. Mean duration between trauma and admission to the hospital was 6.5 years (2 – 26 years). Five patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic in 50 percent of the cases (n = 4). Additional diagnostic imaging with computerized tomography (CT) was used in six patients and upper gastrointestinal (GI) contrast study was performed in one patient. All patients underwent thoracotomy incision. Mesh repair was utilized in one patient. The mean hospitalization time was 14.1 days. There was one postoperative death (16.7%). CONCLUSIONS: Late presentation of blunt diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ. Kowsar 2012-10-14 2012 /pmc/articles/PMC3876542/ /pubmed/24396754 http://dx.doi.org/10.5812/atr.7593 Text en Copyright © 2012, Kashan University of Medical Sciences http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Davoodabadi, Abdolhossein Fakharian, Esmaeil Mohammadzadeh, Mahdi Abdorrahim Kashi, Esmaeil Mirzadeh, Azadeh Sadat Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title | Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title_full | Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title_fullStr | Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title_full_unstemmed | Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title_short | Blunt Traumatic Hernia of Diaphragm With Late Presentation |
title_sort | blunt traumatic hernia of diaphragm with late presentation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3876542/ https://www.ncbi.nlm.nih.gov/pubmed/24396754 http://dx.doi.org/10.5812/atr.7593 |
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