Barker-Antonio A, Carmona-Pavón ML, García-Manzano RA, Dávila-Ruíz EO, Escamilla-Orzuna K, Isidoro-Hernández D

Language: Spanish
References: 14
Page: 95-100
PDF size: 328.65 Kb.

ABSTRACT

Introduction: Diaphragmatic hernia is an unusual condition, almost always asymptomatic, whose frequency is 0.2-1 per 1,000 adults in large radiological series. Diaphragmatic plication is the most widely accepted treatment for symptomatic diaphragmatic hernia in adults. Objective: To describe the case of a patient with a diaphragmatic hernia secondary to chest trauma, its study and surgical resolution. Case presentation: A 60-year-old male patient with a history of automobile shock 20 years ago who started his condition with the presence of progressive dyspnea, which exacerbated in the last three months prior to hospitalization, accompanied by abdominal pain in the right and left upper quadrant. He has a bowel occlusion picture and is therefore hospitalized. Imaging studies are performed where the chest X-ray shows a decrease in the left lung parenchyma due to the presence of an apparently gastric hydro aerial bubble. He enters the surgical time where a left anterior laparotomy and thoracotomy is performed, performing diaphragmatic plication and mesh placement. Conclusion: Diaphragmatic hernia is a very rare pathology in our environment, and there is little diffusion for its management. Diaphragmatic plication and reinforcement with polypropylene mesh is a procedure that can be performed in these cases with good results.

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