Post-traumatic diaphragmatic hernia in a child (case report)

Volume 8, Issue 5, October 2023     |     PP. 385-391      |     PDF (326 K)    |     Pub. Date: October 7, 2023
DOI: 10.54647/cm321182    346 Downloads     266154 Views  

Author(s)

Tandilava R.Z., JSC "Evex Hospitals”- M. Iashvili Maternal and Child Central Hospital. 64, airport highway, Batumi, Georgia. 6000; Shota Rustaveli State University. Department of Clinical Medicine. 35/32, Ninoshvili/Rustaveli str., Batumi, Georgia. 6010.
Tebidze T.I., JSC "Evex Hospitals”- M. Iashvili Maternal and Child Central Hospital. 64, airport highway, Batumi, Georgia. 6000.
Bakhtadze T.I, JSC "Evex Hospitals”- M. Iashvili Maternal and Child Central Hospital. 64, airport highway, Batumi, Georgia. 6000; Shota Rustaveli State University. Department of Clinical Medicine. 35/32, Ninoshvili/Rustaveli str., Batumi, Georgia. 6010.
Tandilava Z.R., JSC "Evex Hospitals”- M. Iashvili Maternal and Child Central Hospital. 64, airport highway, Batumi, Georgia. 6000; Shota Rustaveli State University. Department of Clinical Medicine. 35/32, Ninoshvili/Rustaveli str., Batumi, Georgia. 6010.

Abstract
We describe the clinical case of a 9-year-old girl operated for diaphragmatic hernia. The probable cause of the diaphragm defect in the girl is a blunt abdominal injury with the subsequent formation of a false diaphragmatic hernia with clinic of acute respiratory failure, making it difficult for early diagnosis. A complex of instrumental methods of investigation was used to visualize a traumatic diaphragmatic hernia, the most effective of which was contrast computed tomography. The discussed clinical case is interesting for its rarity. The peculiarity of the disease is marked in a specific case, and the problem of early diagnosis of traumatic diaphragmatic hernias due to the lack of early pathognomonic symptoms of this pathology is considered. We conclude that managing children who had severe injuries requires being cautious in terms of the possibility of traumatic diaphragmatic hernia formation.

Keywords
Post-traumatic diaphragmatic hernia, acute respiratory failure, surgical treatment, children

Cite this paper
Tandilava R.Z., Tebidze T.I., Bakhtadze T.I, Tandilava Z.R., Post-traumatic diaphragmatic hernia in a child (case report) , SCIREA Journal of Clinical Medicine. Volume 8, Issue 5, October 2023 | PP. 385-391. 10.54647/cm321182

References

[ 1 ] Struchkov V.I., Pugachev A.G., editors. Pediatric Thoracic Surgery. Moscow: Medicine.1975: 512-535. [In Russian].
[ 2 ] Adler D.H. Blunt diaphragmatic injury in a 7-year-old girl: J Emerg Med. 2002 Jul; 23 (1):39-42. DOI: 10.1016/s0736-4679(02)00459-6.
[ 3 ] De Nadai T.R., Lopes J.C., Inaco Cirino C.C., Godinho M., Rodrigues A.J., Scarpelini S. Diaphragmatic hernia repair more than four years after severe trauma: Four case reports: Int J Surg Case Rep. 2015; 14: 72-76. DOI: 10.1016/j.ijscr.2015.07.014.
[ 4 ] Bairov G.A. Emergency surgery of children. Saint Petersburg: Peter Press. 1997: 276-278. [In Russian].
[ 5 ] Falidas E., Gourgiotis S., Vlachos K., Villias C. Delayed presentation of diaphragmatic rupture with stomach herniation and strangulation: Am J Emerg Med. 2015 Sep; 33 (9):1329. e1-3. DOI: 10.1016/j.ajem.2015.02.052.
[ 6 ] Hajong R., Baruah A. Post-traumatic diaphragmatic hernia: Indian J Surg. 2012 Aug; 74 (4): 334-335. DOI: 10.1007/s12262-012-0418-7.