Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty
Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecogniz...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/949531 |
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| author | Caroline C. Jadlowiec Lois U. Sakorafas |
| author_facet | Caroline C. Jadlowiec Lois U. Sakorafas |
| author_sort | Caroline C. Jadlowiec |
| collection | DOAJ |
| description | Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecognized, traumatic diaphragmatic injuries are subject to enlarge over time as a result of the normal pressure changes observed between the thoracic and abdominal cavities. Additionally, abrupt changes to the pressure gradients, such as those which occur with positive pressure ventilation or surgical manipulation of the abdominal wall, can act as a nidus for making an asymptomatic hernia symptomatic. We report our experience with a delayed traumatic right-sided diaphragmatic hernia presenting with large bowel incarceration two months after abdominoplasty. In our review of the literature, we were unable to find any reports of delayed presentation of a traumatic right-sided diaphragmatic hernia occurring acutely following abdominoplasty. |
| format | Article |
| id | doaj-art-8cdc7e096b7a4763a3ef5b1bf12b3d7a |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-8cdc7e096b7a4763a3ef5b1bf12b3d7a2025-02-03T06:13:15ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/949531949531Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after AbdominoplastyCaroline C. Jadlowiec0Lois U. Sakorafas1University of Connecticut Integrated General Surgery Residency Program, Farmington, CT 06030, USAUniversity of Connecticut Integrated General Surgery Residency Program, Farmington, CT 06030, USATraumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecognized, traumatic diaphragmatic injuries are subject to enlarge over time as a result of the normal pressure changes observed between the thoracic and abdominal cavities. Additionally, abrupt changes to the pressure gradients, such as those which occur with positive pressure ventilation or surgical manipulation of the abdominal wall, can act as a nidus for making an asymptomatic hernia symptomatic. We report our experience with a delayed traumatic right-sided diaphragmatic hernia presenting with large bowel incarceration two months after abdominoplasty. In our review of the literature, we were unable to find any reports of delayed presentation of a traumatic right-sided diaphragmatic hernia occurring acutely following abdominoplasty.http://dx.doi.org/10.1155/2014/949531 |
| spellingShingle | Caroline C. Jadlowiec Lois U. Sakorafas Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty Case Reports in Surgery |
| title | Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty |
| title_full | Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty |
| title_fullStr | Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty |
| title_full_unstemmed | Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty |
| title_short | Delayed Presentation of Traumatic Right-Sided Diaphragmatic Hernia after Abdominoplasty |
| title_sort | delayed presentation of traumatic right sided diaphragmatic hernia after abdominoplasty |
| url | http://dx.doi.org/10.1155/2014/949531 |
| work_keys_str_mv | AT carolinecjadlowiec delayedpresentationoftraumaticrightsideddiaphragmaticherniaafterabdominoplasty AT loisusakorafas delayedpresentationoftraumaticrightsideddiaphragmaticherniaafterabdominoplasty |