Isolated post-traumatic right-sided diaphragmatic hernia.
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Date
2009-11
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Abstract
A 3-yr-old boy presented with respiratory distress of 2 days duration. There was a history of blunt trauma to the lower chest
having occurred 5 days earlier. Although missed initially, serial chest X-rays and a computed tomographic (CT) scan
revealed an isolated traumatic right-sided diaphragmatic hernia without any injury to the viscera or the ribcage. Laparotomy
with reduction of the herniated right lobe of the liver and the transverse colon was performed. Recovery was uneventful. The
presentation, diagnosis and management of this relatively uncommon injury is discussed. The need for a high index of
suspicion and critical evaluation of appropriate investigations to prevent diagnostic delay and optimize management in
patients with traumatic diaphragmatic injury is emphasized.
Description
Keywords
Diaphragmatic injury, Diaphragmatic hernia, Traumatic, Blunt trauma, Isolated
Citation
Jain Prashant, Kushwaha Anand S, Pant Nitin, Debnath Pinaki R, Chadha Rajiv, Choudhury S R, Kumar Parvesh. Isolated post-traumatic right-sided diaphragmatic hernia. Indian Journal of Pediatrics. 2009 Nov; 76(11): 1167-1168.