Open AccessDifficult weaning in delayed onset diaphragmatic hernia
Author(s) -
Syed Moied Ahmed,
Abu Nadeem,
Jyotishka Pal,
Rahul Gupta,
Sunil Chauhan
Publication year - 2009
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.50750
Subject(s) - medicine , occult , diaphragmatic hernia , diaphragmatic breathing , polytrauma , surgery , diaphragmatic rupture , blunt , congenital diaphragmatic hernia , diaphragm (acoustics) , hernia , pregnancy , fetus , physics , alternative medicine , pathology , biology , acoustics , loudspeaker , genetics
Diaphragmatic injuries are relatively rare and result from either blunt or penetrating trauma. Regardless of the mechanism, diagnosis is often missed and high index of suspicion is vital. The clinical signs associated with a diaphragmatic hernia can range from no outward signs to immediately life-threatening respiratory compromise. Establishing the clinical diagnosis of diaphragmatic injuries (DI) can be challenging as it is often clinically occult. Accurate diagnosis is critical since missed DI may result in grave sequelae due to herniation and strangulation of displaced intra-abdominal organs. We present a case of polytrauma with rib fracture and delayed appearance of diaphragmatic hernia manifesting as difficult weaning from ventilatory support.