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Incarcerated diaphragmatic hernia: Report of an unusual case

  • Published:
Diseases of the Colon & Rectum

Summary

Traumatic diaphragmatic hernias, although quite common, are frequently overlooked as a cause of intestinal obstruction. The hernia may produce significant symptoms acutely or manifest itselft may years following the initial injury. A high index of suspicion is necessary to diagnose intestinal obstruction due to incarcerated diaphragmatic hernia. The operation should be performed through the transabdominal approach when hernia occurs acutely, and the transthoracic approach is recommended when herniorrhaphy is performed long after the time of injury. A case of incarcerated traumatic diaphragmatic hernia that occurred 19 years following a gunshot wound of the chest is reported. The intestinal obstruction was initially thought to be due to cancer of the splenic flexure of the colon.

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References

  1. Bardenhewer E: Ein Fall von Hernia diaphragmatica. Klin Wochenschur 16:195, 1879

    Google Scholar 

  2. Carter BN, Giuseffi J, Felson B: Traumatic diaphragmatic hernia. Am J Roentgenol Radium Ther Nucl Med 65:56, 1951

    PubMed  CAS  Google Scholar 

  3. Carter R, Brewer LA III: Strangulating diaphragmatic hernia. Ann Thorac Surg 12:281, 1971

    Article  PubMed  CAS  Google Scholar 

  4. Coppinger WR: Rupture of diaphragm following repair of hiatal hernia: Report of two cases. Arch Surg 80:998, 1960

    PubMed  CAS  Google Scholar 

  5. Hamby WB (ed.): The Case Reports and Autopsy Records of Ambroise Paré. Spring-field, Ill., Charles C Thomas, 1960, p 50

    Google Scholar 

  6. Mansour KA, Clements JL, Hatcher CR, et al: Diaphragmatic hernia caused by trauma: Experience with 35 cases. Am Surg 41:97, 1975

    PubMed  CAS  Google Scholar 

  7. Naclerio EA: Discussion. Ann Thorac Surg 12:289, 1971

    Google Scholar 

  8. Riolfi: Quoted by Hedblom CA: Diaphragmatic hernia: A study of three hundred and seventy-eight cases in which operation was performed. JAMA 85:947, 1925

    Google Scholar 

  9. Schneider CF: Traumatic diaphragmatic hernia. Am J Surg 91:290, 1956

    Article  PubMed  CAS  Google Scholar 

  10. Schneider CF: Traumatic hernia of the diaphragm. In Nyhus LM, Harkins HN (eds): Hernia. Philadelphia, J. B. Lippincott Company, 1964, chapt 36, p 568

    Google Scholar 

  11. Sullivan RE: Strangulation and obstruction in diaphragmatic hernia due to direct trauma: Report of two cases and review of the English literature. J Thorac Cardiovasc Surg 52:725, 1966

    PubMed  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. the Veterans Administration Hospital, 28805, Asheville, North Carolina

    John DeFrance M.D., Albert H. Bridgman M.D., Ivan Vujic M.D. &  Gulshan K. Sethi M.D.

Authors
  1. John DeFrance M.D.
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  2. Albert H. Bridgman M.D.
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  3. Ivan Vujic M.D.
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  4. Gulshan K. Sethi M.D.
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Additional information

Division of Cardiovascular and Thoracic Surgery.

Department of Diagnostic Radiology.

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DeFrance, J., Bridgman, A.H., Vujic, I. et al. Incarcerated diaphragmatic hernia: Report of an unusual case. Dis Colon Rectum 19, 158–161 (1976). https://doi.org/10.1007/BF02590872

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  • DOI: https://doi.org/10.1007/BF02590872

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