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 (online)

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.

 
  • References

  • 1 Turhan K, Makay O, Cakan A , et al. Traumatic diaphragmatic rupture: look to see. Eur J Cardiothorac Surg 2008; 33 (6) 1082-1085
  • 2 Reina A, Vidaña E, Soriano P , et al. Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 2001; 32 (2) 153-156
  • 3 Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg 1995; 60 (5) 1444-1449
  • 4 Moore JB, Moore EE, Thompson JS. Abdominal injuries associated with penetrating trauma in the lower chest. Am J Surg 1980; 140 (6) 724-730
  • 5 Rashid F, Chakrabarty MM, Singh R, Iftikhar SY. A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 2009; 4: 32
  • 6 Goh BK, Wong AS, Tay KH, Hoe MN. Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarceration and perforation after apparently minor blunt trauma. CJEM 2004; 6 (4) 277-280
  • 7 Shreck GL, Toalson TW. Delayed presentation of traumatic rupture of the diaphragm. J Okla State Med Assoc 2003; 96 (4) 181-183
  • 8 Grimes OF. Traumatic injuries of the diaphragm. Diaphragmatic hernia. Am J Surg 1974; 128 (2) 175-181