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Right upper quadrant pain after previous blunt abdominal trauma: undiagnosed traumatic diaphragmatic hernia with strangulated right colon.
BMJ Case Rep
December 2024
Department of Acute, Emergency and Trauma Surgery, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
A woman in her 40s self-presented to an emergency department in a major trauma centre with severe right-sided abdominal pain, a tender right upper quadrant mass and chest pain. Diagnostic imaging showed a previously undiagnosed diaphragmatic hernia containing strangulated right colon. The patient had been the victim of a high-energy road traffic accident 18 months earlier, but at that time had not presented to hospital or undergone any outpatient investigation.
View Article and Find Full Text PDFPerforated gastric volvulus in a child with undiagnosed congenital diaphragmatic hernia (case report).
Int J Surg Case Rep
December 2024
University Tunis El Manar Medical school, Tunisia; Department of pediatric surgery A, Children's Hospital Bechir Hamza, Tunisia.
Introduction: Congenital diaphragmatic hernia (CDH) is a rare developmental anomaly where a defect in the diaphragm allows abdominal organs to migrate into the thoracic cavity, impairing lung function. While typically identified in neonates, delayed presentations, though uncommon, can complicate diagnosis and treatment. Early detection is vital to prevent severe complications such as organ strangulation or perforation.
View Article and Find Full Text PDF[Hiatal hernia after esophagectomy].
Khirurgiia (Mosk)
November 2024
Herzen Moscow Oncology Research Institute, Moscow, Russia.
Objective: To analyze the causes and surgical treatment of hiatal hernia after esophagectomy, technical features of surgery and methods of prevention.
Material And Methods: We retrospectively analyzed the incidence of postoperative hiatal hernias after esophagectomy in patients with esophageal cancer between 2018 and 2023. Structure of hernias, surgical options and postoperative results were assessed.
Obstructive shock and cardiac arrest due to diaphragmatic hernia after esophageal surgery: a case report.
Surg Case Rep
November 2024
Department of Surgery, Kinki Central Hospital, 3-1 Kurumazuka, Itami, Hyogo, 664-8533, Japan.
Background: We report the exceedingly rare case of diaphragmatic hernia after esophageal surgery resulting in obstructive shock and cardiac arrest.
Case Presentation: An 82-year-old man, who had undergone a robotic-assisted thoracoscopic esophagectomy and gastric tube reconstruction via a subcutaneously route with three-field lymphadenectomy for esophagogastric junction cancer at another hospital 3 months prior, complaining of persistent epigastric pain and nausea. Computed tomography revealed that the proximal jejunum had herniated through the esophageal hiatus into the left thoracic cavity, with dilation of the subcutaneous gastric tube and duodenum.
A case report of Chilaiditi syndrome presenting with a small bowel obstruction in an elderly Ethiopian man: A potential case for a misdiagnosis.
Int J Surg Case Rep
December 2024
Department of Surgery, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia.
Introduction: Chilaiditi syndrome is a rare disease that has ultimate clinical significance as it can result in misdiagnosis and serious consequences.
Case Presentation: A 65-year-old male patient presented to our hospital with sudden onset of severe, crampy peri-umbilical abdominal pain of 12 h duration. This patient was referred to our hospital for surgical intervention as the patient was misdiagnosed to have generalized peritonitis.
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