Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

الملخص EN

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities.

Traumatic diaphragmatic rupture is a rare clinicopathological entity.

We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects.

A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident.

At admission a haemothorax was suspected and treated by pleural drainage.

The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later.

At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed.

The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms.

The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.