Skip to main content
Top
Published in: Hernia 4/2012

01-08-2012 | Case Report

Delayed presentation of a traumatic diaphragmatic rupture with intrapericardial herniation

Authors: G. Çipe, V. Genç, Ç. Uzun, Ç. Atasoy, B. Erkek

Published in: Hernia | Issue 4/2012

Login to get access

Abstract

Thoracic and abdominal blunt traumas are the major causes of diaphragmatic rupture. These ruptures may be recognized at the time of the initial trauma, but are diagnosed months or even years later during the workup for related symptoms. We present herein a patient who suffered from abdominal pain and dyspnea years after a motor vehicle accident. A chest computed tomography (CT) demonstrated diaphragmatic rupture with intrapericardial herniation of intraabdominal organs. Exploratory laparotomy confirmed the diagnosis. In this report, we describe our management of this unusual diaphragmatic rupture.
Literature
1.
go back to reference Rashid F, Chakrabarty MM, Singh R, Iftikhar SY (2009) A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 21:32CrossRef Rashid F, Chakrabarty MM, Singh R, Iftikhar SY (2009) A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 21:32CrossRef
2.
go back to reference Barrett J, Satz W (2006) Traumatic, pericardio-diaphragmatic rupture: an extremely rare cause of pericarditis. J Emerg Med 30:141–145PubMedCrossRef Barrett J, Satz W (2006) Traumatic, pericardio-diaphragmatic rupture: an extremely rare cause of pericarditis. J Emerg Med 30:141–145PubMedCrossRef
3.
go back to reference Wright BE, Reinke T, Aye RW (2005) Chronic traumatic diaphragmatic hernia with pericardial rupture and associated gastroesophageal reflux. Hernia 9:392–396PubMedCrossRef Wright BE, Reinke T, Aye RW (2005) Chronic traumatic diaphragmatic hernia with pericardial rupture and associated gastroesophageal reflux. Hernia 9:392–396PubMedCrossRef
4.
go back to reference Mihos P, Potaris K, Gakidis J, Paraskevopoulos J, Varvatsoulis P, Gougoutas B, Papadakis G, Lapidakis E (2003) Traumatic rupture of the diaphragm: experience with 65 patients. Injury 34:169–172PubMedCrossRef Mihos P, Potaris K, Gakidis J, Paraskevopoulos J, Varvatsoulis P, Gougoutas B, Papadakis G, Lapidakis E (2003) Traumatic rupture of the diaphragm: experience with 65 patients. Injury 34:169–172PubMedCrossRef
5.
go back to reference Esme H, Solak O, Sahin DA, Sezer M (2006) Blunt and penetrating traumatic ruptures of the diaphragm. Thorac Cardiovasc Surg 54:324–327PubMedCrossRef Esme H, Solak O, Sahin DA, Sezer M (2006) Blunt and penetrating traumatic ruptures of the diaphragm. Thorac Cardiovasc Surg 54:324–327PubMedCrossRef
6.
go back to reference Shapiro MJ, Heiberg E, Durham RM, Luchtefeld W, Mazuski JE (1996) The unreliability of CT scans and initial chest radiographs in evaluating blunt trauma induced diaphragmatic rupture. Clin Radiol 51:27–30PubMedCrossRef Shapiro MJ, Heiberg E, Durham RM, Luchtefeld W, Mazuski JE (1996) The unreliability of CT scans and initial chest radiographs in evaluating blunt trauma induced diaphragmatic rupture. Clin Radiol 51:27–30PubMedCrossRef
7.
go back to reference Murray JG, Caoili E, Gruden JF, Evans SJ, Halvorsen RA Jr, Mackersie RC (1996) Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. AJR Am J Roentgenol 166:1035–1039PubMed Murray JG, Caoili E, Gruden JF, Evans SJ, Halvorsen RA Jr, Mackersie RC (1996) Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. AJR Am J Roentgenol 166:1035–1039PubMed
8.
go back to reference Crawshaw GR (1952) Herniation of the stomach, transverse colon, and a portion of the jejunum into the pericardium. Br J Surg 39:364–366PubMedCrossRef Crawshaw GR (1952) Herniation of the stomach, transverse colon, and a portion of the jejunum into the pericardium. Br J Surg 39:364–366PubMedCrossRef
9.
go back to reference Reina A, Vidaña E, Soriano P, Orte A, Ferrer M, Herrera E, Lorenzo M, Torres J, Belda R (2001) Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 32:153–156PubMedCrossRef Reina A, Vidaña E, Soriano P, Orte A, Ferrer M, Herrera E, Lorenzo M, Torres J, Belda R (2001) Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 32:153–156PubMedCrossRef
10.
go back to reference Sharma OP (1999) Pericardio-diaphragmatic rupture: five new cases and literature review. J Emerg Med 17:963–968PubMedCrossRef Sharma OP (1999) Pericardio-diaphragmatic rupture: five new cases and literature review. J Emerg Med 17:963–968PubMedCrossRef
Metadata
Title
Delayed presentation of a traumatic diaphragmatic rupture with intrapericardial herniation
Authors
G. Çipe
V. Genç
Ç. Uzun
Ç. Atasoy
B. Erkek
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Hernia / Issue 4/2012
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0774-9

Other articles of this Issue 4/2012

Hernia 4/2012 Go to the issue