Two Operative Cases of Traumatic Diaphragmatic Hernia

Yuki Miyazaki; Reijiro Saito; Tomoyuki Shimada; Yousuke Kubota; Masashi Zuguchi; Yasushi Kawaharada; Naruhito Takido; Daisuke Ishii; Ryuichi Taketomi; Haruka Motegi; Yoshitaka Enomoto; Ken Saito

Return

Two Operative Cases of Traumatic Diaphragmatic Hernia

VernacularTitle:外傷性横隔膜ヘルニアの2手術例
Author: Yuki MIYAZAKI ¹ ; Reijiro SAITO ² ; Tomoyuki SHIMADA ³ ; Yousuke KUBOTA ² ; Masashi ZUGUCHI ² ; Yasushi KAWAHARADA ² ; Naruhito TAKIDO ² ; Daisuke ISHII ² ; Ryuichi TAKETOMI ² ; Haruka MOTEGI ² ; Yoshitaka ENOMOTO ² ; Ken SAITO ²
Author Information

1. Dept. of Surgery, Tohoku University Graduate School of Medicine
2. Dept. of Surgery, Hiraka General Hospital
3. Dept. of Surgery, Akita Kosei Medical Center
From:Journal of the Japanese Association of Rural Medicine 2019;68(1):82-87
CountryJapan
Language:Japanese
Abstract: We report here 2 cases of traumatic diaphragmatic hernia. Case 1 was a 76-year-old man who was injured in a road traffic accident (RTA). Chest X-ray and computed tomography (CT) revealed prolapse of the stomach into the left thoracic cavity. We performed laparotomy with a diagnosis of traumatic left diaphragmatic hernia. A 12-cm hole was seen in the central tendon of the left diaphragm and this was repaired by suturing. Case 2 was a 75-year-old man who was also injured in an RTA. Chest X-ray and CT revealed prolapse of the stomach and transverse colon into the left thoracic cavity. We performed laparotomy with a diagnosis of traumatic left diaphragmatic hernia. A 15-cm hole was seen in the central tendon of the left diaphragm and this was repaired by suturing. Traumatic diaphragmatic hernia is a relatively rare condition and one that requires surgical repair. It is important to make prompt diagnosis with appropriate radiological investigations. Additionally, patients with diaphragm hernia caused by blunt trauma often have injuries to other organs. Care should be taken so as not to miss associated injuries.