MISSED DIAGNOSIS OF A DELAYED DIAPHRAGMATIC HERNIA AS INTESTINAL OBSTRUCTION: A CASE REPORT

Dr Gali Bata M. FWACS Dr Bakari Abubakar A. FWACS, Dr Wadinga Dauda W. MBBS, Dr Nganjiwa Usman S. MBBS.

Available online Jul 18, 2018.

[ Report ] Volume 23, Issue 1, 2014, Pages 83-85


Abstract

ABSTRACT

Penetrating diaphragmatic injury rarely occurs in isolation. Diagnosis of traumatic
diaphragmatic hernia resulting from penetrating diaphragmatic injury may be
delayed or missed with attendant high morbidity and mortality. We reported a 28-
year-old man who presented with features of subacute intestinal obstruction which
became severe over the last four days. He had a stab injury to his left lower chest
wall that was sutured 31/2 years prior to the development of symptoms. Emergency
laparotomy with incidental findings of missed diaphragmatic hernia with
gangrenous jejunal segment was found. The hernia was reduced, gangrenous
segment resected with end to end anastomosis, and repair of diaphragmatic rent
done. He had an uneventful recovery and follow up. There is the need to maintain
high index of suspicion of Traumatic Diaphragmatic Hernia (TDH) in a patient with
recent or previous thoraco-abdominal injury that will reduce the rate of missed or
delayed diagnosis.


Keywords

penetrating chest injury, diaphragmatic hernia, delayed, missed diagnosis.,

January - March 2014

Volume 23 | Issue 1

Page Nos. 83-85

Online since Jul 13, 2018

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