Delayed presentation of traumatic diaphragmatic hernia after 28 years of initial trauma: treated laproscopically

Introduction: Severe external blunt or penetrating trauma to the abdomen and/or chest is the most common cause of traumatic diaphragmatic hernia (TDH). Delayed TDHs, which develop after a period of one month following trauma, are observed in about 10% of diaphragmatic injuries. The stomach and colon are the most common organs found to be herniated. Most patients with delayed TDHs present with acute GI and/or respiratory symptoms, although, for the intervening period, they may be completely asymptomatic, or may give on and off history of mild symptoms. Helical CT has high sensitivity for detection and gives detailed information about the exact anatomy. Transthoracic approach for repair of delayed TDH is preferred. Laparoscopic, thoracoscopic, or combined techniques are also available for repair of TDHs. Here we present an interesting case of delayed TDH, presenting after a very long asymptomatic interval of 28 years of initial trauma. The patient was successfully treated by repair done laproscopically. Conclusion: This case report emphasizes the possibility of delayed presentation of TDH even after very long intervals, and its laparoscopic repair, as one of the available treatment options. Keywords: Diaphragmatic hernia, Traumatic diaphragmatic hernia, Delayed traumatic diaphragmatic hernia, Diaphragmatic injuries, Diaphragmatic tear, Laparoscopic repair of diaphragmatic hernia
Table of Contents Abstract Case Discussion References Case We present a case of a 52-year-old patient presented to the casualty department with complaints of acute onset chest pain, respiratory distress [...]