Open AccessTraumatic Diaphragmatic Hernia: Management and Review
Author(s) -
Sweety Kumari
Publication year - 2021
Language(s) - English
DOI - 10.47363/jsar/2021(2)130
Subject(s) - medicine , diaphragmatic hernia , occult , surgery , blunt , diaphragmatic breathing , pleural effusion , blunt trauma , hernia , complication , diaphragmatic rupture , acute abdomen , abdomen , general surgery , alternative medicine , pathology
Traumatic diaphragmatic injury (TDI) is a fairly uncommon with incidence of 0.8 and 1.6 %, commonest fallowing blunt trauma abdomen. Right-side have higher mortality rate compared to left side and penetrating injuries. It present as occult to obvious. Laparoscopy offers diagnostic and therapeutic tool of care. Lack of awareness of the condition may delay in diagnosis, results life threatening complications. Missed hernia is a known complication of blunt trauma as acute diagnosis can be difficult to ascertain. An early diagnosis and treatment lead to better outcome. In present study CECT revealed acute diaphragmatic hernia, bilateral pleural effusion and hair line fracture of right tibia on skiagram limb. Because of uncertainty in diagnosis of acute diaphragmatic hernia or rupture surgeons faces challenges for the management, high suspicion index required to diagnose the cases. An early diagnosis and treatment lead to better outcome