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Prieto Nieto I. I, Robledo JPP, Trelles VR, Ibañez RDM, Prieto AF, Celada AC. Gastric Incarceration and Perforation following Posttraumatic Diaphragmatic Hernia. Acta Chir Belg 2020. [DOI: 10.1080/00015458.2001.12098593] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- I. Prieto Nieto I.
- Department of General and Digestive Surgery, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
| | - J. P. Pérez Robledo
- Department of General and Digestive Surgery, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
| | - V. Rosales Trelles
- Department of General and Digestive Surgery, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
| | - R. De Miguel Ibañez
- Department of General and Digestive Surgery, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
| | - A. Fernández Prieto
- Department of Radiology, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
| | - A. Calvo Celada
- Department of General and Digestive Surgery, Vírgen de la Luz Hospital, Castilla-La Mancha University, Cuenca, Spain
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2
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Koo CW, Johnson TF, Gierada DS, White DB, Blackmon S, Matsumoto JM, Choe J, Allen MS, Levin DL, Kuzo RS. The breadth of the diaphragm: updates in embryogenesis and role of imaging. Br J Radiol 2018; 91:20170600. [PMID: 29485899 DOI: 10.1259/bjr.20170600] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
The diaphragm is an unique skeletal muscle separating the thoracic and abdominal cavities with a primary function of enabling respiration. When abnormal, whether by congenital or acquired means, the consequences for patients can be severe. Abnormalities that affect the diaphragm are often first detected on chest radiographs as an alteration in position or shape. Cross-sectional imaging studies, primarily CT and occasionally MRI, can depict structural defects, intrinsic and adjacent pathology in greater detail. Fluoroscopy is the primary radiologic means of evaluating diaphragmatic motion, though MRI and ultrasound also are capable of this function. This review provides an update on diaphragm embryogenesis and discusses current imaging of various abnormalities, including the emerging role of three-dimensional printing in planning surgical repair of diaphragmatic derangements.
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Affiliation(s)
- Chi Wan Koo
- 1 Department of Radiology, Mayo Clinic , Rochester, MN , USA
| | | | - David S Gierada
- 2 Department of Radiology, Washington University School of Medicine, Mallinckrodt Institute of Radiology , St. Louis, MO , USA
| | - Darin B White
- 1 Department of Radiology, Mayo Clinic , Rochester, MN , USA
| | - Shanda Blackmon
- 3 Department of Thoracic Surgery, Mayo Clinic , Rochester, MN , USA
| | | | - Jooae Choe
- 1 Department of Radiology, Mayo Clinic , Rochester, MN , USA.,4 Department of Radiology, Asan Medical Center , Seoul , South Korea
| | - Mark S Allen
- 3 Department of Thoracic Surgery, Mayo Clinic , Rochester, MN , USA
| | - David L Levin
- 1 Department of Radiology, Mayo Clinic , Rochester, MN , USA
| | - Ronald S Kuzo
- 1 Department of Radiology, Mayo Clinic , Rochester, MN , USA
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Abstract
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.
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Affiliation(s)
- Rachna Wadhwa
- Department of Anaesthesiology and Critical Care, UCMS and GTB Hospital, New Delhi, India
| | - Zainab Ahmad
- Department of Anaesthesiology and Critical Care, UCMS and GTB Hospital, New Delhi, India
| | - Mahendra Kumar
- Department of Anaesthesiology and Critical Care, UCMS and GTB Hospital, New Delhi, India
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Nejmeddine A, Mohamed A, Khalil K, Khalil BS, Issam BM. Cardiac tamponade secondary to traumatic intrapericardial diaphragmatic hernia. J Thorac Cardiovasc Surg 2008; 136:1087-9. [PMID: 18954658 DOI: 10.1016/j.jtcvs.2007.12.075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2007] [Accepted: 12/09/2007] [Indexed: 10/21/2022]
Affiliation(s)
- Affes Nejmeddine
- Department of General Surgery, Habib Bourguiba Hospital, Sfax, Tunisia.
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Reina A, Vidaña E, Soriano P, Orte A, Ferrer M, Herrera E, Lorenzo M, Torres J, Belda R. Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 2001; 32:153-6. [PMID: 11223047 DOI: 10.1016/s0020-1383(00)00151-0] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
A traumatic rupture of the diaphragm, with herniation of the abdominal viscera into the thoracic cavity, is relatively rare, being observed in approximately 3-7% of all abdominal or thoracic traumas [1]. Herniation into the pericardium is very rare [2]. We have reviewed the post-traumatic intrapericardial diaphragmatic hernias (TIPDH) published in the world literature within our reach and, as it was already stated in the review carried out by Van Loenhout et al. [3] in 1986, approximately one post-traumatic intrapericardial hernia is reported every year. The patient that we present makes case 82 of those published until October of 1999.
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Affiliation(s)
- A Reina
- Department of General and Digestive Surgery, Hospital Torrecárdenas, Paraje Torrecárdenas s/n., 04009 Almería, Spain
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