Delayed diagnosis of traumatic diaphragmatic hernia may cause colonic perforation: A case report
[ N/A ]
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Early diagnosis of diaphragmatic rupture after traumas may be difficult, and delayed diagnosis may result in increased morbidity and mortality. This paper describes the case of a 32-year-old man who experienced a traffic accident and had diagnosis of traumatic diaphragmatic hernia nearly four months later. The patient was referred to our emergency room suffering from ileus symptoms. Physical examination demonstrated an apparent abdominal distention, tenderness at the upper abdominal quadrants, rebound, and defense. Thoraco-abdominal X-rays and computerized tomography imaging demonstrated intestinal segments with air-fluid levels in thorax. Laparotomy was performed after a preoperative diagnosis of a strangulated-diaphragmatic hernia. At abdominal exploration, it was found that transverse colon and omentum entered into thorax through diaphragmatic defect located at the left diaphragm. Herniating colon segment was complicated with ischemic necrosis and perforation. In conclusion, colon necrosis and perforation may develop when early diagnosis of diaphragmatic ruptures are missed. © 2009 Ozkan et al.; licensee Cases Network Ltd.
Açıklama
Anahtar Kelimeler
antibiotic agent, nonabsorbable suture, abdominal distension, abdominal radiography, abdominal tenderness, adult, antibiotic therapy, article, blunt trauma, case report, colon ischemia, colon perforation, computer assisted tomography, constipation, delayed diagnosis, diaphragm hernia, dyspnea, emergency ward, end to end anastomosis, fever, gangrene, hernia strangulation, human, ileus, laparotomy, male, nausea, omentum, patient referral, physical examination, surgical drainage, surgical infection, suturing method, traffic accident, transverse colon, vomiting
Kaynak
Cases Journal
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
2
Sayı
8
