 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue2
Subject Area: Medicine
-
DOI: 10.5272/jimab.2024302.5564
Published online: 10 June 2024
Case report
J of IMAB. 2024 Apr-Jun;30(2):5564-5568
MINIMALLY INVASIVE MANAGEMENT OF CHRONIC POST-TRAUMATIC DIAPHRAGMATIC HERNIA WITH DELAYED CLINICAL MANIFESTATION
Angel Arabadzhiev1, 2
, Tsvetan Popov1, 2
,
1) Clinic of Surgery, University Hospital "Alexandrovska", Sofia, Bulgaria.
2) Department of Surgery, Faculty of Medicine, Medical University – Sofia, Bulgaria.
ABSTRACT:
Background: Post-traumatic diaphragmatic hernia (PTDH) is a rare condition that can transition from acute to chronic states, often eluding immediate diagnosis due to obscured symptoms in the emergency setting. The delayed manifestation of PTDH can lead to severe complications such as intestinal obstruction and respiratory distress associated with high rates of morbidity and mortality.
Case description: We report a case involving a 74-year-old female patient with delayed onset of symptoms of chronic PTDH (CPTDH) with a history of traffic accident three years before presentation, successfully treated with a minimally invasive laparoscopic approach.
Conclusion: Early recognition and adequate management of CPTDH are crucial for minimizing morbidity and mortality. Minimally invasive techniques provide notable benefits in patient care, underscoring the ongoing advancement in surgical approaches.
Keywords: diaphragmatic hernia, post-traumatic, laparoscopic, minimally invasive,
- Download FULL TEXT /PDF 1659 KB/
Please cite this article as: Arabadzhiev A, Popov T. Minimally invasive management of chronic post-traumatic diaphragmatic hernia with delayed clinical manifestation. J of IMAB. 2024 Apr-Jun;30(2):5564-5568. [Crossref - 10.5272/jimab.2024302.5564]
Correspondence to: Tsvetan Popov, MD, Clinic of Surgery, University Hospital "Alexandrovska", Sofia, Bulgaria, Department of Surgery, Faculty of Medicine, Medical University – Sofia; 1, St. Georgi Sofiyski Str., 1431 Sofia, Bulgaria; E-mail: ts.popov@medfac.mu-sofia.bg
REFERENCES:
1. Gu P, Lu Y, Li X, Lin X. Acute and chronic traumatic diaphragmatic hernia: 10 years' experience. PLoS One. 2019 Dec 12;14(12):e0226364. [PubMed]
2. Yunus Shah M, Abdrabou AA, Obalappa P. Delayed Presentation of Post-traumatic Multiorgan Left Diaphragmatic Hernia: A Case Report and Literature Review. Cureus. 2022 Jul 13;14(7):e26814. [PubMed]
3. Petrone P, Leppäniemi A, Inaba K, Søreide K, Asensio JA. Diaphragmatic injuries: challenges in the diagnosis and management. Trauma. 2007 ;9(4):227-236. [Crossref]
4. Shabhay A, Horumpende P, Shabhay Z, Van Baal SG, Lazaro E, Chilonga K. Surgical Approach in Management of Post-traumatic Diaphragmatic Hernia: Thoracotomy versus Laparotomy. Case Rep Surg. 2020 Dec 5;2020:6694990. [PubMed]
5. Vempalli N, Konda SR, Kaeley N, Bhardwaj BB, Kumar S. Post-traumatic diaphragmatic hernia: Diagnostic dilemma in primary care. J Family Med Prim Care. 2020 May 31;9(5):2555-2557. [PubMed]
6. Eren S, Ciriş F. Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 2005 Jun;54(3):448-59. [PubMed]
7. Blitz M, Louie BE. Chronic traumatic diaphragmatic hernia. Thorac Surg Clin. 2009 Nov;19(4):491-500. [PubMed]
8. King BW, Skedros JG, Glasgow RE, Morrell DG. Resolution of Chronic Shoulder Pain after Repair of a Posttraumatic Diaphragmatic Hernia: A 22-Year Delay in Diagnosis and Treatment. Case Rep Orthop. 2020 Jan 6;2020:7984936. [PubMed]
9. Singh S, Kalan MM, Moreyra CE, Buckman RF Jr. Diaphragmatic rupture presenting 50 years after the traumatic event. J Trauma. 2000 Jul;49(1):156-9. [PubMed]
10. Hariharan D, Singhal R, Kinra S, Chilton A. Post traumatic intra thoracic spleen presenting with upper GI bleed!--a case report. BMC Gastroenterol. 2006 Nov 28;6:38. [PubMed]
11. Lai Y, Yu C, Zhu Y, Pan X. Late-onset traumatic diaphragmatic hernia associated with acute pancreatitis: A case report. Medicine (Baltimore). 2020 Oct 9;99(41):e22482. [PubMed]
12. Asumpinawong A, Udomsawaengsup S. Laparoscopic approach in chronic post-traumatic diaphragmatic hernia. J Minim Invasive Surg. 2022 Jun 15;25(2):77-79. [PubMed]
13. McDonald AA, Robinson BRH, Alarcon L, Bosarge PL, Dorion H, Haut ER, Juern J, Madbak F, Reddy S, Weiss P, Como JJ. Evaluation and management of traumatic diaphragmatic injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2018 Jul;85(1):198-207. [PubMed]
14. Silva GP, Cataneo DC, Cataneo AJM. Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis. Acta Cir Bras. 2018 Jan;33(1):49-66. [PubMed]
15. Fernández-Moreno MC, Barrios Carvajal ME, López Mozos F, Garcés Albir M, Martí Obiol R, Ortega J. When laparoscopic repair is feasible for diaphragmatic hernia in adults? A retrospective study and literature review. Surg Endosc. 2022 May;36(5):3347-3355. [PubMed]
16. Liu Q, Luan L, Zhang G, Li B. Treatment of Chronic Traumatic Diaphragmatic Hernia Based on Laparoscopic Repair: Experiences From 23 Cases. Front Surg. 2021 Jul 15;8:706824. [PubMed]
17. Kitano Y, Okamoto K, Ohnishi M, Aoki T, Shibahara K. Laparoscopic Repair Following a Delayed Presentation of Traumatic Diaphragmatic Hernia: A Case Report. Cureus. 2024 Mar 27;16(3):e57079. [Pubmed]
18. Rashid F, Chakrabarty MM, Singh R, Iftikhar SY. A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg. 2009 Aug 21;4:32. [PubMed]
Received: 12 February 2024
Published online: 10 June 2024