2015, Number 3
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Revista Cubana de Cirugía 2015; 54 (3)
Diaphragmatic traumatic hernia in the little boy
Domínguez GEJ, Ramón NER, Carrazana AM, Puente FCJ, Romero SMI, Nápoles OL
Language: Spanish
References: 7
Page: 256-262
PDF size: 111.36 Kb.
ABSTRACT
Traumatic diaphragmatic hernia is a rare illness at pediatric ages. The objective of this
paper was to report a case of diaphragmatic hernia secondary to closed
thoracoabdominal trauma. This patient is a 12 years-old boy admitted to the pediatric
surgery service of Santiago de Cuba province because of an accident at home (a brick
wall fell down upon his body) that caused him cranial, thoracic and lumbar traumas.
The radiological studies confirmed the diagnosis of traumatic diaphragmatic hernia on
the left side. During the surgical act, there was observed an almost 15cm left
diaphragm defect with hernias in stomach, spleen and colon. Reduction and
phrenorraphy were performed using mattress sewing stitch type, polyester 0 plus left
low minimal pleurostomy. The progression of the patient was satisfactory and was
discharged from hospital ten days after surgery to be followed up in the outpatient
service for 6 months until his complete recovery.
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