Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

Author:

Amadou Magagi Ibrahim1ORCID,Habou Oumarou23,Adamou Harissou13,Adakal Ousseini45,Ali Ada Mahamoud Omid67,Moustapha Hellé67,Abarchi Habibou67

Affiliation:

1. General Surgery Department, National Hospital of Zinder, Zinder, Niger

2. Pediatric Surgery Department, National Hospital of Zinder, Zinder, Niger

3. Faculty of Health Sciences, University of Zinder, Zinder, Niger

4. General Surgery Department, Regional Hospital of Maradi, Maradi, Niger

5. Faculty of Health Sciences, University Dan Dicko Dankoulodo, Maradi, Niger

6. Pediatric Surgery Department, National Hospital of Lamordé, Niamey, Niger

7. Faculty of Health Sciences, Universite Abdou Moumouni, Niamey, Niger

Abstract

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage. The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later. At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed. The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms. The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,Water Science and Technology,Geography, Planning and Development

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