![](/images/graphics-bg.png)
Surgical Approach in Management of Posttraumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy
Joint Authors
Chilonga, Kondo
Shabhay, Ahmed
Horumpende, Pius
Shabhay, Zarina
Van Baal, Sjef G.
Lazaro, Ester
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Breach in diaphragmatic musculature permits abdominal viscera to herniate into the thoracic cavity.
Time of presentation and associated injuries determines the surgical approach in management.
This case report sets to highlight the challenges in clinical diagnosis, radiological interpretation, and surgical management approaches of posttraumatic diaphragmatic hernia.
We report a case of a 43 years old male who was diagnosed with traumatic diaphragmatic hernia 6 months post blunt thoracoabdominal trauma due to motor traffic accident.
He was initially diagnosed with haemothorax, drained with an underwater thoracostomy tube, and discharged.
He continued to experience on and off chest pain worsening postfeeding, difficulty in breathing and abdominal pain for the next six months until his eventual diaphragmatic hernia diagnosis.
He was scheduled for an elective thoracotomy.
A left posterolateral thoracic over the 7th intercostal space incision was used.
Intraoperatively, the stomach, left lobe of liver, part of transverse colon, small bowel, and omentum had herniated into the thoracic cavity adhering into thoracic viscera and wall.
Adhesiolysis was done, and abdominal organs reduced into abdominal cavity.
Rent was closed by interrupted Prolene sutures reinforced with a mesh.
In patients with delayed presentation of diaphragmatic hernia post blunt thoracoabdominal injury without associated intra-abdominal visceral injury, we recommend the thoracic diaphragmatic repair approach as long-standing herniated bowels might adhere with thoracic cavity walls or viscera.
In such cases, adhesiolysis and rent repair is easier through thoracotomy.
American Psychological Association (APA)
Shabhay, Ahmed& Horumpende, Pius& Shabhay, Zarina& Van Baal, Sjef G.& Lazaro, Ester& Chilonga, Kondo. 2020. Surgical Approach in Management of Posttraumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy. Case Reports in Surgery،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151461
Modern Language Association (MLA)
Shabhay, Ahmed…[et al.]. Surgical Approach in Management of Posttraumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy. Case Reports in Surgery No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151461
American Medical Association (AMA)
Shabhay, Ahmed& Horumpende, Pius& Shabhay, Zarina& Van Baal, Sjef G.& Lazaro, Ester& Chilonga, Kondo. Surgical Approach in Management of Posttraumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy. Case Reports in Surgery. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151461
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151461