Delayed Presentation of Posttraumatic Diaphragmatic Hernia
Introduction: Posttraumatic diaphragmatic hernias (PTDH) with delayed presentation are rarely encountered in clinical practice. They may be asymptomatic and detected incidentally or else lead to respiratory and gastrointestinal symptoms. Here, we present an experience of PTDHs at a general surgical...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Light House Polyclinic Mangalore
2025-02-01
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| Series: | Online Journal of Health & Allied Sciences |
| Subjects: | |
| Online Access: | https://www.ojhas.org/issue92/2024-4-6.html |
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| Summary: | Introduction: Posttraumatic diaphragmatic hernias (PTDH) with delayed presentation are rarely encountered in clinical practice. They may be asymptomatic and detected incidentally or else lead to respiratory and gastrointestinal symptoms. Here, we present an experience of PTDHs at a general surgical division of a medical college in Kashmir valley. Methods: Retrospective analysis was conducted on all the patients treated for PTDH between 2010 and 2024. Results: There were 7 patients (5 females and 2 males) with a mean age of 37.7 years. The index abdominal injury was blunt in 6 and penetrating in 1 case. The interval between index injury and presentation of PTDH ranged from 5 months to 7 years (mean 4.6 years). Abdominal pain was the most common symptom. All the patients were definitively diagnosed with imaging and managed surgically. The postoperative phase was uneventful, and there were no recurrences. Conclusion: Posttraumatic diaphragmatic hernias with delayed presentation are rare; they can manifest even years and decades after trauma. Successful diagnosis requires a high index of suspicion and proper utilization of imaging modalities. Following diagnosis, PTDH must undergo a surgical operation to reduce the risk of further problems. |
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| ISSN: | 0972-5997 |