A diaphragmatic hernia in a traumatic patient simulating a hemorrhage: A case report

A traumatic diaphragmatic rupture occurs in approximately 5 % of all trauma cases, making diagnosis difficult. Images can be used for most diagnoses; however, some can be detected intraoperatively. Based on its presentation, mechanism, side, diagnostic modality, and surgical approach, the diaphragmatic hernia can be discussed from several perspectives. In this report, we present the case of a 39-year-old female who suffered a rupture of her right diaphragm following a motor vehicle accident. Her symptoms mimic those of hemorrhage. A repair was performed through an abdominal approach, and the patient was discharged from the hospital without complications.

Omental infarction present with right upper quadrant pain, case report

Omental infarction is a rare cause of pain and must be considered in the differential diagnosis of acute abdomen. It arises in any quadrant that contains omentum when a compromised blood supply takes place. We report a morbid obese 45-year-old male with Diabetes mellitus, dyslipidemia and coronavirus-disease-related pneumonia 2 months prior to his emergency presentation with acute epigastric and right upper quadrant pain. The patient was investigated by computed tomography (CT), and the provisional diagnosis was biliary colic from gallbladder stone. The patient’s pain was severe and not compatible with biliary colic. Diagnostic laparoscopy approached and an incidental finding of omental necrotic area. Excision of the infarcted omentum in addition to cholecystectomy was done. The patient’s postoperative course was uneventful, and he was discharged home after 2 days. In our case, the CT image did not discover mental changes that may help us to make a preoperative diagnosis.