Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature
Congenital diaphragmatic hernia (CDH) and acquired diaphragmatic hernia (ADH) are secondary to a weakness or opening in the diaphragm. Both are types of internal hernia. The abnormality can range from a minor defect in the posterior edge of the diaphragm to the entire loss of it. CDH usually leads t...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Emergencies, Trauma and Shock |
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| Online Access: | https://journals.lww.com/10.4103/jets.jets_3_24 |
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| author | Yeshwant Lamture Siddharth P. Dubhashi Deepali Shetty |
| author_facet | Yeshwant Lamture Siddharth P. Dubhashi Deepali Shetty |
| author_sort | Yeshwant Lamture |
| collection | DOAJ |
| description | Congenital diaphragmatic hernia (CDH) and acquired diaphragmatic hernia (ADH) are secondary to a weakness or opening in the diaphragm. Both are types of internal hernia. The abnormality can range from a minor defect in the posterior edge of the diaphragm to the entire loss of it. CDH usually leads to lung hypoplasia associated with pulmonary hypertension and immaturity, as well as cardiac dysfunction. In ADH, pathophysiology is secondary to herniation and its pressure effects. We report a series of two cases of spontaneous ADH (SADH). Spontaneous acquired rupture of the diaphragm can occur after exercise, coughing, labor (delivery), or even without any significant preceding event. It is uncertain if SADH is caused by a preexisting weak region in the diaphragm, a loss of muscle coordination during vigorous exertion, or both. It is a potentially fatal surgical emergency requiring a high index of clinical judgment in the appropriate clinical setting. SADH acts mechanically by compressing the lung. It is an infrequent entity. This case series and review concisely illustrate the genesis, diagnosis, and treatment of spontaneous diaphragmatic hernia. |
| format | Article |
| id | doaj-art-3d463b1370ac47d89806b1b1547ac007 |
| institution | Kabale University |
| issn | 0974-2700 0974-519X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj-art-3d463b1370ac47d89806b1b1547ac0072025-01-07T06:57:17ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27000974-519X2024-12-0117424124410.4103/jets.jets_3_24Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of LiteratureYeshwant LamtureSiddharth P. DubhashiDeepali ShettyCongenital diaphragmatic hernia (CDH) and acquired diaphragmatic hernia (ADH) are secondary to a weakness or opening in the diaphragm. Both are types of internal hernia. The abnormality can range from a minor defect in the posterior edge of the diaphragm to the entire loss of it. CDH usually leads to lung hypoplasia associated with pulmonary hypertension and immaturity, as well as cardiac dysfunction. In ADH, pathophysiology is secondary to herniation and its pressure effects. We report a series of two cases of spontaneous ADH (SADH). Spontaneous acquired rupture of the diaphragm can occur after exercise, coughing, labor (delivery), or even without any significant preceding event. It is uncertain if SADH is caused by a preexisting weak region in the diaphragm, a loss of muscle coordination during vigorous exertion, or both. It is a potentially fatal surgical emergency requiring a high index of clinical judgment in the appropriate clinical setting. SADH acts mechanically by compressing the lung. It is an infrequent entity. This case series and review concisely illustrate the genesis, diagnosis, and treatment of spontaneous diaphragmatic hernia.https://journals.lww.com/10.4103/jets.jets_3_24extracorporeal membrane oxygenationinternal hernialung atelectasispulmonary hypertension |
| spellingShingle | Yeshwant Lamture Siddharth P. Dubhashi Deepali Shetty Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature Journal of Emergencies, Trauma and Shock extracorporeal membrane oxygenation internal hernia lung atelectasis pulmonary hypertension |
| title | Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature |
| title_full | Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature |
| title_fullStr | Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature |
| title_full_unstemmed | Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature |
| title_short | Spontaneous Acquired Diaphragmatic Hernia: Case Series and Review of Literature |
| title_sort | spontaneous acquired diaphragmatic hernia case series and review of literature |
| topic | extracorporeal membrane oxygenation internal hernia lung atelectasis pulmonary hypertension |
| url | https://journals.lww.com/10.4103/jets.jets_3_24 |
| work_keys_str_mv | AT yeshwantlamture spontaneousacquireddiaphragmaticherniacaseseriesandreviewofliterature AT siddharthpdubhashi spontaneousacquireddiaphragmaticherniacaseseriesandreviewofliterature AT deepalishetty spontaneousacquireddiaphragmaticherniacaseseriesandreviewofliterature |