Korean J Gastrointest Endosc.  2000 Jan;20(1):46-48.

A Case of Delayed Presentation of a Traumatic Diaphragmatic Hernia

Affiliations
  • 1Department of Internal Medicine, Universitiy of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 2Department of Surgery, Universitiy of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 3Department of Diagnostic Radiology, Universitiy of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

The majority of undiagnosed diaphragmatic ruptures are associated with a high mortality rate if not treated immediately. A high index of suspicion for diaphragmatic injury during initial evaluation is the most important factor. A case was experienced involving delayed presentation of a traumatic diaphragmatic hernia, in a 49 year old female injured in a road traffic accident a year prior to admission. She was admitted with complaints of left side chest pain, nausea, and vomiting for 7 days. She was diagnosed as a diaphragmatic hernia on her left side by several diagnostic tests including a gastroscopy and CT scan. Her medical history was carefully examined as well. Surgical repair was performed.

Keyword

Diaphragmatic hernia; Trauma; Delayed presentation

MeSH Terms

Accidents, Traffic
Chest Pain
Diagnostic Tests, Routine
Female
Gastroscopy
Hernia, Diaphragmatic
Hernia, Diaphragmatic, Traumatic*
Humans
Middle Aged
Mortality
Nausea
Rupture
Tomography, X-Ray Computed
Vomiting
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