Korean J Crit Care Med.  2010 Sep;25(3):199-202. 10.4266/kjccm.2010.25.3.199.

A Chronic Traumatic Diaphragmatic Hernia Presenting 36 Years after Preceding Injury: A Case Report

• Kim KH
• Kuh JH
• Kim TY

• KMID: 2228209
• DOI: http://doi.org/10.4266/kjccm.2010.25.3.199

Abstract

We report a distinctive case of a large traumatic diaphragmatic hernia (TDH) that presented 36-years after the preceding injury. We believe this case represents the most delayed (TDH) presentation ever reported in Korea. This paper describes the particular presentation, including the operative and postoperative management of this patient. We also review the management of long delayed TDH presentation and the postoperative issues concerning thoracic cavity dead space and propensity of the repaired diaphragm for developing abdominal compartment syndrome.

Keyword

diaphragm; hernia; traumatic

MeSH Terms

Diaphragm
Hernia
Hernia, Diaphragmatic, Traumatic
Humans
Intra-Abdominal Hypertension
Korea
Thoracic Cavity