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Case Reports in SurgeryVolume 2014 2014, Article ID 949531, 4 pages

Case Report

University of Connecticut Integrated General Surgery Residency Program, Farmington, CT 06030, USA

Department of Surgery, Hartford Hospital, Trauma and Critical Care, Hartford, CT 06102, USA

Received 16 February 2014; Accepted 13 April 2014; Published 8 May 2014

Academic Editor: Christophoros Foroulis

Copyright © 2014 Caroline C. Jadlowiec and Lois U. Sakorafas. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver. If unrecognized, traumatic diaphragmatic injuries are subject to enlarge over time as a result of the normal pressure changes observed between the thoracic and abdominal cavities. Additionally, abrupt changes to the pressure gradients, such as those which occur with positive pressure ventilation or surgical manipulation of the abdominal wall, can act as a nidus for making an asymptomatic hernia symptomatic. We report our experience with a delayed traumatic right-sided diaphragmatic hernia presenting with large bowel incarceration two months after abdominoplasty. In our review of the literature, we were unable to find any reports of delayed presentation of a traumatic right-sided diaphragmatic hernia occurring acutely following abdominoplasty.





Autor: Caroline C. Jadlowiec and Lois U. Sakorafas

Fuente: https://www.hindawi.com/



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