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2007, Number 1

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Rev Hosp Jua Mex 2007; 74 (1)

Delayed presentation of traumatic diaphragmatic hernia with colon commitment. Report of case

Figueroa BJH, Gutiérrez DAF, Salinas SJ, Mendoza GJM, Monge MJ

Language: Spanish
References: 12
Page: 35-39
PDF size: 181.85 Kb.


ABSTRACT

The traumatic diaphragmatic hernia result from external blunt injury or penetrating injuries such knife or bullet wound with different characteristics from the origin of the injury. The penetrating injuries, has frecuency until 15% when the injury is for knife, and 40% in bullet wound. The diagnosis of the diaphragmatic injuries and the result hernia, may not be recognized in 100% during immediate phase, require high index suspect, chest X-ray examination, and perform diaphragmatic inspection if the laparotomy had been made. The time of missed diagnostic is weeks, months and years, occurs mostly on the left side, include abdominal organ and affect the lungs, have a high mortality. Surgical exploration is performed through laparotomy incision , thoracotomy or thoraco-abdominal, with diaphragma reparation and reduction of abdominal contains. We present a review of clinical and classical X-ray findings of diaphragmatic injury, considerations about delay in diagnosis, diagnosis methods and surgical management.


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