030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report
Background: Traumatic diaphragmatic rupture is rare with incidence between 0.8-8% and often resulting from blunt or penetrating trauma. We present a case of delayed diaphragmatic hernia in a 41-year-old male, 15 years after blunt abdominal trauma. Case: A 41-year-old male presented with dyspnea and...
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| Format: | Article |
| Language: | English |
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Universitas Udayana
2024-10-01
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| Series: | JBN (Jurnal Bedah Nasional) |
| Online Access: | https://ojs.unud.ac.id/index.php/jbn/article/view/119936 |
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| author | Zulfa Tsurayya Rayhan Fauzie Andre Krislee Shania Quency Alexandra Waelauruw Irhamna Syari Yani |
| author_facet | Zulfa Tsurayya Rayhan Fauzie Andre Krislee Shania Quency Alexandra Waelauruw Irhamna Syari Yani |
| author_sort | Zulfa Tsurayya |
| collection | DOAJ |
| description | Background: Traumatic diaphragmatic rupture is rare with incidence between 0.8-8% and often resulting from blunt or penetrating trauma. We present a case of delayed diaphragmatic hernia in a 41-year-old male, 15 years after blunt abdominal trauma. Case: A 41-year-old male presented with dyspnea and severe abdominal pain. He reported being struck in the abdomen with wood during a gang attack 15 years prior. A year after the accident, he complained of uncomfortable breathing that worsened in the past 6 years. Physical examination revealed decreased breath sounds on the left side and a distended abdomen. Imaging confirmed bowel herniation into the left hemithorax, partial lung collapse, and a mediastinal shift. Emergency laparotomy revealed a 5 cm diaphragmatic defect, massive gastric necrosis, and herniation of abdominal organs into the thoracic cavity. The defect was closed with primary repair, and necrotic gastric tissue was excised and repaired using primary closure with omental patch. The patient recovered well and was discharged on day 11. Conclusion: Diaphragmatic ruptures require prompt surgical repair to prevent complications. Physicians must carefully evaluate trauma history and conduct thorough examinations to improve outcomes in emergency settings. |
| format | Article |
| id | doaj-art-1be38a9d79a947fbab8cb51eab0a6551 |
| institution | Kabale University |
| issn | 2548-5962 2548-981X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Universitas Udayana |
| record_format | Article |
| series | JBN (Jurnal Bedah Nasional) |
| spelling | doaj-art-1be38a9d79a947fbab8cb51eab0a65512024-11-14T02:59:59ZengUniversitas UdayanaJBN (Jurnal Bedah Nasional)2548-59622548-981X2024-10-0182S30S3010.24843/JBN.2024.v08.is02.p030119936030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case ReportZulfa Tsurayya0Rayhan Fauzie1Andre Krislee2Shania Quency Alexandra Waelauruw3Irhamna Syari Yani4Internship Doctor, dr. H. Andi Abdurrahman Noor Regional Hospital, South Kalimantan, IndonesiaGeneral Surgeon, dr. H. Andi Abdurrahman Noor Regional Hospital, South Kalimantan, IndonesiaFaculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaInternship Doctor, Praya Regional Hospital, West Nusa Tenggara, IndonesiaInternship Doctor, dr. H. Andi Abdurrahman Noor Regional Hospital, South Kalimantan, IndonesiaBackground: Traumatic diaphragmatic rupture is rare with incidence between 0.8-8% and often resulting from blunt or penetrating trauma. We present a case of delayed diaphragmatic hernia in a 41-year-old male, 15 years after blunt abdominal trauma. Case: A 41-year-old male presented with dyspnea and severe abdominal pain. He reported being struck in the abdomen with wood during a gang attack 15 years prior. A year after the accident, he complained of uncomfortable breathing that worsened in the past 6 years. Physical examination revealed decreased breath sounds on the left side and a distended abdomen. Imaging confirmed bowel herniation into the left hemithorax, partial lung collapse, and a mediastinal shift. Emergency laparotomy revealed a 5 cm diaphragmatic defect, massive gastric necrosis, and herniation of abdominal organs into the thoracic cavity. The defect was closed with primary repair, and necrotic gastric tissue was excised and repaired using primary closure with omental patch. The patient recovered well and was discharged on day 11. Conclusion: Diaphragmatic ruptures require prompt surgical repair to prevent complications. Physicians must carefully evaluate trauma history and conduct thorough examinations to improve outcomes in emergency settings.https://ojs.unud.ac.id/index.php/jbn/article/view/119936 |
| spellingShingle | Zulfa Tsurayya Rayhan Fauzie Andre Krislee Shania Quency Alexandra Waelauruw Irhamna Syari Yani 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report JBN (Jurnal Bedah Nasional) |
| title | 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report |
| title_full | 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report |
| title_fullStr | 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report |
| title_full_unstemmed | 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report |
| title_short | 030. Delayed Presentation of Blunt Traumatic Diaphragmatic Hernia 15 Years After Injury: A Case Report |
| title_sort | 030 delayed presentation of blunt traumatic diaphragmatic hernia 15 years after injury a case report |
| url | https://ojs.unud.ac.id/index.php/jbn/article/view/119936 |
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