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A Journal on Surgery

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Minerva Chirurgica 2006 October;61(5):451-4

language: Italian

Acute abdomen due to a right strangulated traumatic diaphragmatic hernia. case report

Schiano Di Visconte M., Picciano P., Munegato G.

1 Dipartimento di Chirurgia Generale Ospedale S. Maria dei Battuti, Conegliano, Treviso
2 Dipartimento di Emergenza Azienda U.L.S.S. 10 del Veneto Ospedale di San Donà di Piave-Jesolo San Donà di Piave, Venezia


Traumatic rupture of diaphragm is sometimes diagnosed many years after the traumatic event. Due to the silent nature of diaphragmatic injuries, the diagnosis is easily missed or difficult. We describe a rare case of right diaphragmatic hernia, in which the diagnosis was made many years after the trauma. The incidence of right diaphragmatic hernia is about 11-14% of all diphragmatic hernias. The patient showed acute hernia of the small intestine and was treated with resection of the intestinal loop and repair of breakthrough by suture. The diagnosis was made with a standard X-ray of torax and abdomen. CT scan and NMR give more accurate information in these cases. The surgical repair is the treatment of choice in all traumatic diaphragmatic hernias.

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