Delayed traumatic diaphragmatic hernia mimicking hydropneumothorax

Traumatic diaphragmatic hernia (TDH) is generally a consequence of thoraco-abdominal trauma. Anaesthetic problems arise due to herniation of abdominal contents into the thoracic cavity causing diaphragmatic dysfunction, lung collapse, mediastinal shift and haemodynamic instability. Diagnosis depends...

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Bibliographic Details
Published in:Indian journal of anaesthesia 2014-03, Vol.58 (2), p.186-189
Main Authors: Wadhwa, Rachna, Ahmad, Zainab, Kumar, Mahendra
Format: Article
Language:English
Subjects:
Case Report
Diagnosis
Diaphragm
Hernia
Hydropneumothorax
Pneumothorax
thoraco-abdominal trauma
traumatic diaphragmatic hernia
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Description
Summary:Traumatic diaphragmatic hernia (TDH) is generally a consequence of thoraco-abdominal trauma. Anaesthetic problems arise due to herniation of abdominal contents into the thoracic cavity causing diaphragmatic dysfunction, lung collapse, mediastinal shift and haemodynamic instability. Diagnosis depends on history, clinical signs and radiological investigations. Sometimes, it may be misdiagnosed as hydropneumothorax due to the presence of air and fluid in the viscera lying in the pleural cavity. We report a case of TDH mimicking hydropneumothorax on radiological investigations and subsequent surgical management, which led to serious complications.
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.130825