Das Somak, Zirpe Dinesh, Gopakumar Chandrasekharn Valiathan, Swain Sudeepta Kumar, Surendran Rajagopal
Residential Medical Officer, Surgical Gastroenterology, School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education & Research , Kolkata, West Bengal, India .
DNB Registrar, Surgical Gastroenterology, Apollo Hospital , Chennai, Tamil Nadu, India .
J Clin Diagn Res. 2016 Nov;10(11):PD03-PD05. doi: 10.7860/JCDR/2016/23390.8774. Epub 2016 Nov 1.
Traumatic diaphragmatic hernia rarely affects right side due to protective effect of liver. In adult it is mainly caused by blunt abdominal trauma. Acute presentations are often life threatening and usually clinch the diagnosis early. It may remain asymptomatic for many years unless being detected incidentally during investigations for some unrelated reason or getting complicated by some pathology of herniated viscera. High degree of suspicion is required to detect this delayed presentation particularly in a post-trauma patient as this condition may require modifications in management. We report a case of acute cholecystitis which revealed a rare association of traumatic right diaphragmatic hernia and hepatothorax.
由于肝脏的保护作用,创伤性膈疝很少累及右侧。在成人中,它主要由钝性腹部创伤引起。急性表现往往危及生命,通常能早期确诊。它可能多年无症状,除非在因某些无关原因进行检查时偶然发现,或因疝入脏器的某些病变而出现并发症。对于这种延迟出现的情况,尤其是创伤后患者,需要高度怀疑才能检测到,因为这种情况可能需要调整治疗方案。我们报告一例急性胆囊炎病例,该病例显示出创伤性右膈疝与肝胸罕见关联。