Presentation
METHOD: We present the case of a 54-year-old victim of a motor vehicle crash who presented with a delayed diagnosis of a right-sided traumatic diaphragmatic hernia. By using a 4-port technique and intracorporeal suturing, the hernia was repaired. [ncbi.nlm.nih.gov]
Entire Body System
-
Sepsis
Abstract Group B streptococcal sepsis was associated with delayed presentation of an unsuspected right-sided diaphragmatic hernia in two neonates. [ncbi.nlm.nih.gov]
-
Streptococcal Infection
The relationship between a delayed-onset diaphragmatic hernia and a group B streptococcal infection is still unknown. [ncbi.nlm.nih.gov]
-
Localized Edema
Abstract The term "hydrops fetalis" denotes generalized fetal edema, a condition that differs from localized edema confined to head, extremities, or body cavities. [ncbi.nlm.nih.gov]
-
Inflammation
Increased intrathoracic pressure caused by mechanical ventilation coupled with an abnormal lung compliance due to inflammation may have resulted in the delayed herniation. [ncbi.nlm.nih.gov]
Respiratoric
-
Pleural Effusion
Abstract We report a case of a right-sided diaphragmatic hernia in a premature twin, which presented in the 2nd week of life with a persistent pleural effusion following a bowel perforation due to necrotizing enterocolitis. [ncbi.nlm.nih.gov]
-
Pneumonia
Abstract A case of right-sided diaphragmatic hernia following group B streptococcal pneumonia and sepsis is reported herein. The clinical course was characteristic. The position of the right hemidiaphragm was initially normal. [ncbi.nlm.nih.gov]
Gastrointestinal
-
Abdominal Pain
Publication type, MeSH terms Publication type Case Reports MeSH terms Abdominal Pain/diagnostic imaging Abdominal Pain/etiology* Abdominal Pain/surgery Adult Diagnosis, Differential Follow-Up Studies Hernia, Diaphragmatic/complications* Hernia, Diaphragmatic [ncbi.nlm.nih.gov]
-
Upper Abdominal Pain
Twenty-eight months later, he presented with recurrent right upper abdominal pain. Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. [ncbi.nlm.nih.gov]
-
Abdominal Distension
METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation. [ncbi.nlm.nih.gov]
-
Bilious Vomiting
He had presented with cough for one month and respiratory difficulty for one-week duration and history of bilious vomiting two days prior to admission. [ncbi.nlm.nih.gov]
-
Hypertrophic Pyloric Stenosis
The presence of congenital hypertrophic pyloric stenosis in 25% of infants suggests a degree of predisposition. [ncbi.nlm.nih.gov]
Liver, Gall & Pancreas
-
Jaundice
He required antimicrobial therapy and mechanical ventilation and initially did well, although he exhibited jaundice and cholestasis. [ncbi.nlm.nih.gov]
Musculoskeletal
-
Right Shoulder Pain
METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation. [ncbi.nlm.nih.gov]
-
Shoulder Pain
METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation. [ncbi.nlm.nih.gov]
Fetus
-
Hydrops Fetalis
Abstract The term "hydrops fetalis" denotes generalized fetal edema, a condition that differs from localized edema confined to head, extremities, or body cavities. [ncbi.nlm.nih.gov]
Psychiatrical
-
Suggestibility
In the third week, the X-ray suggested some bowel loops in the right hemithorax. A right-sided diaphragmatic hernia was confirmed by a CT-scan, and surgery was performed with good outcome. [ncbi.nlm.nih.gov]
Neurologic
-
Confusion
Localized fetal edema may be confused with hydrops fetalis. Fetal edema of the head and neck may result from obstruction of the superior vena cava by abnormal mediastinal structures. [ncbi.nlm.nih.gov]
Workup
Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. [ncbi.nlm.nih.gov]
X-Ray
-
Normal Chest X-Ray
Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. Right-sided DH is rare but may occur after living donor liver transplant. [ncbi.nlm.nih.gov]
Pleura
-
Pleural Effusion
Abstract We report a case of a right-sided diaphragmatic hernia in a premature twin, which presented in the 2nd week of life with a persistent pleural effusion following a bowel perforation due to necrotizing enterocolitis. [ncbi.nlm.nih.gov]
Treatment
Diaphragmatic hernia should be added to the list of potential complications of liver transplantation for prompt diagnosis and appropriate treatment. [ncbi.nlm.nih.gov]
Etiology
/diagnosis Hernia, Diaphragmatic/surgery Humans Laparotomy/methods Liver Transplantation/adverse effects* Living Donors* Male Pain, Postoperative/diagnosis Pain, Postoperative/etiology* Pain, Postoperative/surgery Recurrence Tomography, X-Ray Computed [ncbi.nlm.nih.gov]
Pathophysiology
Combination of factors related to the surgical techniques and patient characteristics might explain the pathophysiology behind the diaphragmatic hernias following liver transplantation. [ncbi.nlm.nih.gov]
Prevention
The need for a high index of suspicion and critical evaluation of appropriate investigations to prevent diagnostic delay and optimize management in patients with traumatic diaphragmatic injury is emphasized. [ncbi.nlm.nih.gov]