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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| Language: | English |
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Light House Polyclinic Mangalore
2025-02-01
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| Series: | Online Journal of Health & Allied Sciences |
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| Online Access: | https://www.ojhas.org/issue92/2024-4-6.html |
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| author | Ajaz A Rather Sajad Ahmad Salati Sanaan Ajaz Rather Mohammed Alfehaid |
| author_facet | Ajaz A Rather Sajad Ahmad Salati Sanaan Ajaz Rather Mohammed Alfehaid |
| author_sort | Ajaz A Rather |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4dc069ba4fca4fe58641c17a5ddd525b |
| institution | OA Journals |
| issn | 0972-5997 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Light House Polyclinic Mangalore |
| record_format | Article |
| series | Online Journal of Health & Allied Sciences |
| spelling | doaj-art-4dc069ba4fca4fe58641c17a5ddd525b2025-08-20T02:14:46ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972025-02-01234Delayed Presentation of Posttraumatic Diaphragmatic HerniaAjaz A Rather0Sajad Ahmad Salati1Sanaan Ajaz Rather2Mohammed Alfehaid3Professor & Head, Department of Surgery, SKIMS Medical College, Bemina, Srinagar, Kashmir, IndiaProfessor, Department of Surgery, College of Medicine, Qassim University, Saudi ArabiaResident, Department of Accident & Emergency, SKIMS Medical College, Bemina, Srinagar, Kashmir, IndiaAssociate Professor, Department of Surgery, College of Medicine, Qassim University, Saudi ArabiaIntroduction: 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.https://www.ojhas.org/issue92/2024-4-6.htmldiaphragmatic hernialaparoscopytraumaomentumrecurrenceimaging |
| spellingShingle | Ajaz A Rather Sajad Ahmad Salati Sanaan Ajaz Rather Mohammed Alfehaid Delayed Presentation of Posttraumatic Diaphragmatic Hernia Online Journal of Health & Allied Sciences diaphragmatic hernia laparoscopy trauma omentum recurrence imaging |
| title | Delayed Presentation of Posttraumatic Diaphragmatic Hernia |
| title_full | Delayed Presentation of Posttraumatic Diaphragmatic Hernia |
| title_fullStr | Delayed Presentation of Posttraumatic Diaphragmatic Hernia |
| title_full_unstemmed | Delayed Presentation of Posttraumatic Diaphragmatic Hernia |
| title_short | Delayed Presentation of Posttraumatic Diaphragmatic Hernia |
| title_sort | delayed presentation of posttraumatic diaphragmatic hernia |
| topic | diaphragmatic hernia laparoscopy trauma omentum recurrence imaging |
| url | https://www.ojhas.org/issue92/2024-4-6.html |
| work_keys_str_mv | AT ajazarather delayedpresentationofposttraumaticdiaphragmatichernia AT sajadahmadsalati delayedpresentationofposttraumaticdiaphragmatichernia AT sanaanajazrather delayedpresentationofposttraumaticdiaphragmatichernia AT mohammedalfehaid delayedpresentationofposttraumaticdiaphragmatichernia |