Thorac cardiovasc Surg 2012; 60(S 02): e13-e15
DOI: 10.1055/s-0031-1295582
Thoracic Surgery
Georg Thieme Verlag KG Stuttgart · New York

Late Gastric Incarceration 20 Years after Penetrating Chest Trauma

KeCheng Chen
1  Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Taiwan, Province of China
,
ChenHao Hsiao
2  Department of Surgery, Cheng Hsin General Hospital, Taipei, Taiwan, Province of China
,
MingSung Yang
2  Department of Surgery, Cheng Hsin General Hospital, Taipei, Taiwan, Province of China
› Author Affiliations
Further Information

Publication History

26 June 2011

12 July 2011

Publication Date:
03 January 2012 (eFirst)

  

Abstract

The diagnosis of diaphragmatic injury in trauma patients is a challenge for surgeons. Misdiagnosis is common and can only be corrected when patients present with symptoms of diaphragmatic hernia. We report a rare case of delayed traumatic diaphragmatic hernia masquerading as empyema 20 years after lower chest penetrating trauma. The herniated stomach was found intraoperatively. Delayed traumatic diaphragmatic hernia should always be suspected in patients with trauma that may have occurred many years ago.