Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis
Post-traumatic diaphragmatic hernia (PTDH) is defined as the migration of intra-abdominal organs into the chest through a pathological defect in the diaphragm caused by trauma. PTDH is a rare condition, occurring in 3%–7% of all thoracoabdominal injuries. Approximately 14.6% of PTDH cases present mo...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/cris/2527619 |
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| author | Papa Mamadou Faye Ulrich Igor Mbessoh Kengne Ousmane Thiam Mouhamadou Laye Diop Joël Gabin Konlack Mekontso Mouhamed Moustapha Gueye Seydy Ly Amacoumba Fall Mame Dieme Diop Christophe Mbueda Naomi Makam Alpha Oumar Toure Mamadou Cisse |
| author_facet | Papa Mamadou Faye Ulrich Igor Mbessoh Kengne Ousmane Thiam Mouhamadou Laye Diop Joël Gabin Konlack Mekontso Mouhamed Moustapha Gueye Seydy Ly Amacoumba Fall Mame Dieme Diop Christophe Mbueda Naomi Makam Alpha Oumar Toure Mamadou Cisse |
| author_sort | Papa Mamadou Faye |
| collection | DOAJ |
| description | Post-traumatic diaphragmatic hernia (PTDH) is defined as the migration of intra-abdominal organs into the chest through a pathological defect in the diaphragm caused by trauma. PTDH is a rare condition, occurring in 3%–7% of all thoracoabdominal injuries. Approximately 14.6% of PTDH cases present months to years after the initial trauma. Cases of delayed PTDH complicated by bowel obstruction and perforation are exceedingly uncommon, with a reported prevalence of 0.17%–6%. In Africa, fewer than 10 cases of delayed PTDH have been documented over the past three decades. Despite the availability of published reports, there are no established practice guidelines for managing PTDH. Here, we present a case of delayed PTDH that manifested as acute bowel obstruction 12 years after a gunshot wound to the chest. The condition led to a fatal postoperative outcome. This case highlights the critical need for clinicians to consider PTDH in patients with a history of trauma presenting with acute bowel obstruction and underscores the importance of urgent surgical management to prevent fatal complications. |
| format | Article |
| id | doaj-art-db6a8fd34a1c4ed18be1f7d71ca9002f |
| institution | DOAJ |
| issn | 2090-6919 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-db6a8fd34a1c4ed18be1f7d71ca9002f2025-08-20T03:16:46ZengWileyCase Reports in Surgery2090-69192025-01-01202510.1155/cris/2527619Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed DiagnosisPapa Mamadou Faye0Ulrich Igor Mbessoh Kengne1Ousmane Thiam2Mouhamadou Laye Diop3Joël Gabin Konlack Mekontso4Mouhamed Moustapha Gueye5Seydy Ly6Amacoumba Fall7Mame Dieme Diop8Christophe Mbueda9Naomi Makam10Alpha Oumar Toure11Mamadou Cisse12Department of SurgeryDepartment of Surgical OncologyDepartment of SurgeryDepartment of SurgeryDepartment of MedicineDepartment of SurgeryDepartment of SurgeryDepartment of Surgical OncologyDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryDepartment of SurgeryPost-traumatic diaphragmatic hernia (PTDH) is defined as the migration of intra-abdominal organs into the chest through a pathological defect in the diaphragm caused by trauma. PTDH is a rare condition, occurring in 3%–7% of all thoracoabdominal injuries. Approximately 14.6% of PTDH cases present months to years after the initial trauma. Cases of delayed PTDH complicated by bowel obstruction and perforation are exceedingly uncommon, with a reported prevalence of 0.17%–6%. In Africa, fewer than 10 cases of delayed PTDH have been documented over the past three decades. Despite the availability of published reports, there are no established practice guidelines for managing PTDH. Here, we present a case of delayed PTDH that manifested as acute bowel obstruction 12 years after a gunshot wound to the chest. The condition led to a fatal postoperative outcome. This case highlights the critical need for clinicians to consider PTDH in patients with a history of trauma presenting with acute bowel obstruction and underscores the importance of urgent surgical management to prevent fatal complications.http://dx.doi.org/10.1155/cris/2527619 |
| spellingShingle | Papa Mamadou Faye Ulrich Igor Mbessoh Kengne Ousmane Thiam Mouhamadou Laye Diop Joël Gabin Konlack Mekontso Mouhamed Moustapha Gueye Seydy Ly Amacoumba Fall Mame Dieme Diop Christophe Mbueda Naomi Makam Alpha Oumar Toure Mamadou Cisse Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis Case Reports in Surgery |
| title | Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis |
| title_full | Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis |
| title_fullStr | Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis |
| title_full_unstemmed | Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis |
| title_short | Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis |
| title_sort | post traumatic diaphragmatic hernia presenting as bowel obstruction 12 years after a chest gunshot wound a rare delayed diagnosis |
| url | http://dx.doi.org/10.1155/cris/2527619 |
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