K C Suraj, Lamichhane Samiksha, Khanal Bhawani, Kumar Abhijeet, Gupta Rakesh Kumar
Department of General Surgery, BP Koirala Institute of Health Sciences, Buddha Road, Dharan, Sunsari, 56700, Nepal.
Department of Radiodiagnosis and Imaging, BP Koirala Institute of Health Sciences, Buddha Road, Dharan, Sunsari, 56700, Nepal.
J Surg Case Rep. 2024 Oct 2;2024(10):rjae613. doi: 10.1093/jscr/rjae613. eCollection 2024 Oct.
Acquired diaphragmatic hernia is typically caused by blunt trauma to the abdomen. It can be challenging to diagnose in acute cases due to a wide range of symptoms. Delayed presentation of traumatic diaphragmatic hernia is uncommon and can lead to respiratory issues or bowel complications like incarceration, perforation, or strangulation. Computed tomography is the preferred diagnostic tool. For acute case, laparotomy is indicated traditionally; however, the choice of surgery is dependent upon the surgeon's expertise and availability of resources.
后天性膈疝通常由腹部钝性创伤引起。由于症状范围广泛,在急性病例中进行诊断可能具有挑战性。创伤性膈疝的延迟表现并不常见,可能导致呼吸问题或肠道并发症,如嵌顿、穿孔或绞窄。计算机断层扫描是首选的诊断工具。对于急性病例,传统上建议进行剖腹手术;然而,手术方式的选择取决于外科医生的专业技能和资源可用性。