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Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty

Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecogniz...

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Autores principales: Jadlowiec, Caroline C., Sakorafas, Lois U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034723/
https://www.ncbi.nlm.nih.gov/pubmed/24900935
http://dx.doi.org/10.1155/2014/949531
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author Jadlowiec, Caroline C.
Sakorafas, Lois U.
author_facet Jadlowiec, Caroline C.
Sakorafas, Lois U.
author_sort Jadlowiec, Caroline C.
collection PubMed
description Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecognized, traumatic diaphragmatic injuries are subject to enlarge over time as a result of the normal pressure changes observed between the thoracic and abdominal cavities. Additionally, abrupt changes to the pressure gradients, such as those which occur with positive pressure ventilation or surgical manipulation of the abdominal wall, can act as a nidus for making an asymptomatic hernia symptomatic. We report our experience with a delayed traumatic right-sided diaphragmatic hernia presenting with large bowel incarceration two months after abdominoplasty. In our review of the literature, we were unable to find any reports of delayed presentation of a traumatic right-sided diaphragmatic hernia occurring acutely following abdominoplasty.
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spelling pubmed-40347232014-06-04 Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty Jadlowiec, Caroline C. Sakorafas, Lois U. Case Rep Surg Case Report Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecognized, traumatic diaphragmatic injuries are subject to enlarge over time as a result of the normal pressure changes observed between the thoracic and abdominal cavities. Additionally, abrupt changes to the pressure gradients, such as those which occur with positive pressure ventilation or surgical manipulation of the abdominal wall, can act as a nidus for making an asymptomatic hernia symptomatic. We report our experience with a delayed traumatic right-sided diaphragmatic hernia presenting with large bowel incarceration two months after abdominoplasty. In our review of the literature, we were unable to find any reports of delayed presentation of a traumatic right-sided diaphragmatic hernia occurring acutely following abdominoplasty. Hindawi Publishing Corporation 2014 2014-05-08 /pmc/articles/PMC4034723/ /pubmed/24900935 http://dx.doi.org/10.1155/2014/949531 Text en Copyright © 2014 C. C. Jadlowiec and L. U. Sakorafas. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jadlowiec, Caroline C.
Sakorafas, Lois U.
Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title_full Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title_fullStr Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title_full_unstemmed Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title_short Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
title_sort delayed presentation of traumatic right-sided diaphragmatic hernia after abdominoplasty
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034723/
https://www.ncbi.nlm.nih.gov/pubmed/24900935
http://dx.doi.org/10.1155/2014/949531
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