Soqia Jameel, Ataya Jamal, Alhadid Salem Algomaa, Kakaje Ameer, Chaban Hussain
Faculty of Medicine, Damascus University, Damascus, Syria.
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
J Surg Case Rep. 2023 Mar 21;2023(3):rjad100. doi: 10.1093/jscr/rjad100. eCollection 2023 Mar.
Left side traumatic diaphragmatic hernias (DH) are very rare and usually present acutely. They might represent after years of minor trauma, and they should be considered among differentials to avoid complications. We present a 28-year-old female coming with acute epigastric pain radiating into the chest with dyspnea and vomiting. Her history was negative for trauma and other than very minor trauma two years earlier. Chest X-ray showed atelectasis with mild pleural effusion. Computed tomography scan showed several cavities, filling the left chest with a gaseous liquid level. Surgery was performed that demonstrated DH and the abdominal viscera were returned to the abdomen without any complications. Traumatic DHs can be easily overlooked with the absent of recent major trauma. They can represent years after the original trauma with acute symptoms, which can make it hard to diagnosis if not considered.
左侧创伤性膈疝（DH）非常罕见，通常急性发作。它们可能在多年轻微创伤后出现，在鉴别诊断时应考虑到它们以避免并发症。我们报告一名28岁女性，因急性上腹部疼痛放射至胸部伴呼吸困难和呕吐前来就诊。她的病史中无创伤史，仅两年前有过非常轻微的创伤。胸部X线显示肺不张伴轻度胸腔积液。计算机断层扫描显示几个空洞，左胸腔内有气液平面。进行了手术，术中发现为膈疝，腹腔脏器回纳至腹腔，无任何并发症。如果近期没有重大创伤，创伤性膈疝很容易被忽视。它们可在原创伤数年之后出现急性症状，如果不考虑到这一点，可能难以诊断。
