Post-Traumatic Diaphragmatic Hernia -Delayed Presentation with Complications.

Corresponding Author:
Dr. Revin,
H. No. 1612, Sector-10A,
Urban Estate,
Opp. Meenakshi Public School,
Gurgaon-122001, Haryana, India.
E-mail: dr.revin@gmail.com

INTRODUCTION

Diaphragmatic hernia is due to a defect in the diaphragm which can be either congenital or acquired, leading to herniation of abdominal contents into the thoracic cavity. The most common cause of acquired diaphragmatic hernias is trauma. Traumatic diaphragmatic injuries that are acquired are uncommon and are missed frequently due to non-specific features and initial small size of hernia. Blunt or penetrating thoracic or abdominal injury can result in traumatic diaphragmatic hernia. Post-traumatic diaphragmatic hernias are more common on the left side compared to the right side because of congenitally strong right hemidiaphragm and protection by the liver. 0.8–3.6% of blunt trauma patients present with right-sided hernia. Proper diagnosis of both benign and life-threatening manifestations of diaphragmatic hernias is very important for further management.^[1,2,3,4] Diaphragmatic hernias are uncommon, and at times are incidental. Diaphragmatic hernias are of two types, congenital and traumatic. Traumatic diaphragmatic hernias are rare. We are presenting a case of 72 years old male with incidentally detected right-sided diaphragmatic hernia with classical signs which helped in diagnosing the condition.