BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS

Traumatic diaphragmatic hernias could be clinically apparent and diagnosed after months and years after trauma. Bilateral ruptures of the diaphragm rarely appeared. Patients (46 cases) with diaphragmatic hernias were treated at the period from 1998 to 2010. The rate of diaphragmatic hernias consiste...

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Main Authors: S. A. Plaksin, L. P. Kotel’Nikova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2015-02-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/11
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author S. A. Plaksin
L. P. Kotel’Nikova
author_facet S. A. Plaksin
L. P. Kotel’Nikova
author_sort S. A. Plaksin
collection DOAJ
description Traumatic diaphragmatic hernias could be clinically apparent and diagnosed after months and years after trauma. Bilateral ruptures of the diaphragm rarely appeared. Patients (46 cases) with diaphragmatic hernias were treated at the period from 1998 to 2010. The rate of diaphragmatic hernias consisted of 41,3%, bilateral post-traumatic hernias was noted in 2,2%. The article presents a follow-up study of bilateral diaphragmatic hernia, which was formed on the left (after 1 year) and on the right after 5 years. Diagnosis was supported by radiographic contrast research and computed tomography data. The stomach and omentum were displaced to the pleural cavity on the left, the transversely colon and omentum had a shift on the right. Thoracotomy and diaphragm plasty were performed in both cases. Hernial orifice was located in the area of esophageal opening and crura of diaphragm. It is necessary to increase clinical suspicion in relation to possibility of diaphragmatic hernia origin after severe closed trauma.
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institution Kabale University
issn 0042-4625
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publisher Pavlov First Saint Petersburg State Medical University
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-1b7c5a0e32c6470091fb619eca1bc4bb2025-08-20T03:39:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-02-011741475110.24884/0042-4625-2015-174-1-47-5110BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIASS. A. Plaksin0L. P. Kotel’Nikova1Perm State Medical Academy named after E. A. VagnerPerm State Medical Academy named after E. A. VagnerTraumatic diaphragmatic hernias could be clinically apparent and diagnosed after months and years after trauma. Bilateral ruptures of the diaphragm rarely appeared. Patients (46 cases) with diaphragmatic hernias were treated at the period from 1998 to 2010. The rate of diaphragmatic hernias consisted of 41,3%, bilateral post-traumatic hernias was noted in 2,2%. The article presents a follow-up study of bilateral diaphragmatic hernia, which was formed on the left (after 1 year) and on the right after 5 years. Diagnosis was supported by radiographic contrast research and computed tomography data. The stomach and omentum were displaced to the pleural cavity on the left, the transversely colon and omentum had a shift on the right. Thoracotomy and diaphragm plasty were performed in both cases. Hernial orifice was located in the area of esophageal opening and crura of diaphragm. It is necessary to increase clinical suspicion in relation to possibility of diaphragmatic hernia origin after severe closed trauma.https://www.vestnik-grekova.ru/jour/article/view/11diaphragmatic herniathoracotomydiaphragm plasty
spellingShingle S. A. Plaksin
L. P. Kotel’Nikova
BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
Вестник хирургии имени И.И. Грекова
diaphragmatic hernia
thoracotomy
diaphragm plasty
title BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
title_full BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
title_fullStr BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
title_full_unstemmed BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
title_short BILATERAL POST-TRAUMATIC DIAPHRAGMATIC HERNIAS
title_sort bilateral post traumatic diaphragmatic hernias
topic diaphragmatic hernia
thoracotomy
diaphragm plasty
url https://www.vestnik-grekova.ru/jour/article/view/11
work_keys_str_mv AT saplaksin bilateralposttraumaticdiaphragmatichernias
AT lpkotelnikova bilateralposttraumaticdiaphragmatichernias