Presentation
METHOD: We present the case of a 54-year-old victim of a motor vehicle crash who presented with a delayed diagnosis of a right-sided traumatic diaphragmatic hernia. By using a 4-port technique and intracorporeal suturing, the hernia was repaired. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
/diagnosis Hernia, Diaphragmatic/surgery Humans Laparotomy/methods Liver Transplantation/adverse effects* Living Donors* Male Pain, Postoperative/diagnosis Pain, Postoperative/etiology* Pain, Postoperative/surgery Recurrence Tomography, X-Ray Computed [ncbi.nlm.nih.gov]
Respiratoric
- Cough
Abstract A 75-year-old woman who presented with a cough was found on investigation to have a large right-sided diaphragmatic hernia with intrathoracic herniation of the colon, small bowel, and right kidney. [ncbi.nlm.nih.gov]
Gastrointestinal
- Vomiting
He had presented with cough for one month and respiratory difficulty for one-week duration and history of bilious vomiting two days prior to admission. [ncbi.nlm.nih.gov]
Workup
Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. [ncbi.nlm.nih.gov]
Treatment
Diaphragmatic hernia should be added to the list of potential complications of liver transplantation for prompt diagnosis and appropriate treatment. [ncbi.nlm.nih.gov]
Etiology
/diagnosis Hernia, Diaphragmatic/surgery Humans Laparotomy/methods Liver Transplantation/adverse effects* Living Donors* Male Pain, Postoperative/diagnosis Pain, Postoperative/etiology* Pain, Postoperative/surgery Recurrence Tomography, X-Ray Computed [ncbi.nlm.nih.gov]
Pathophysiology
Combination of factors related to the surgical techniques and patient characteristics might explain the pathophysiology behind the diaphragmatic hernias following liver transplantation. [ncbi.nlm.nih.gov]
Prevention
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. [ncbi.nlm.nih.gov]