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Incarcerated diaphragmatic hernia as a cause of acute abdomen.

Koh H, Sivarajah S, Anderson D, Wilson C - J Surg Case Rep (2012)

Bottom Line: We present a case of an adult male patient with complications as a result of a congenital diaphragmatic hernia.Radiological investigations confirmed a left hydropneumothorax as well as large bowel obstruction secondary to herniation of the omentum and transverse colon through a congenital defect in the left hemi-diaphragm.He recovered well, except that he developed an empyema postoperatively for which he required a thoracotomy and decortication.

View Article: PubMed Central - PubMed

Affiliation: Victoria Infrimary, Glasgow, UK.

No MeSH data available.


Related in: MedlinePlus

CXR post-thoracostomy
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fig1: CXR post-thoracostomy

Mentions: A tube thoracostomy was performed, which drained approximately 300ml of purulent fluid. The follow-up chest X-ray (Fig. 1) showed a persistent pneumothorax although the appearances had improved and the mediastinum was centrally positioned. In view of his on-going abdominal complaints, an abdominal X-ray was obtained. This showed markedly dilated large bowel within the upper abdomen, consistent with large bowel obstruction. A surgical review confirmed him to be distended, tympanic, with upper abdominal tenderness and scanty bowel sounds. A CT scan of the chest and abdomen was requested.


Incarcerated diaphragmatic hernia as a cause of acute abdomen.

Koh H, Sivarajah S, Anderson D, Wilson C - J Surg Case Rep (2012)

CXR post-thoracostomy
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3649658&req=5

fig1: CXR post-thoracostomy
Mentions: A tube thoracostomy was performed, which drained approximately 300ml of purulent fluid. The follow-up chest X-ray (Fig. 1) showed a persistent pneumothorax although the appearances had improved and the mediastinum was centrally positioned. In view of his on-going abdominal complaints, an abdominal X-ray was obtained. This showed markedly dilated large bowel within the upper abdomen, consistent with large bowel obstruction. A surgical review confirmed him to be distended, tympanic, with upper abdominal tenderness and scanty bowel sounds. A CT scan of the chest and abdomen was requested.

Bottom Line: We present a case of an adult male patient with complications as a result of a congenital diaphragmatic hernia.Radiological investigations confirmed a left hydropneumothorax as well as large bowel obstruction secondary to herniation of the omentum and transverse colon through a congenital defect in the left hemi-diaphragm.He recovered well, except that he developed an empyema postoperatively for which he required a thoracotomy and decortication.

View Article: PubMed Central - PubMed

Affiliation: Victoria Infrimary, Glasgow, UK.

No MeSH data available.


Related in: MedlinePlus