Diaphragmatic Hernia Emergency Surgery: A Case Series and Review

Abstract

A congenital anomaly with a frequency of 0.17–6% in adulthood is congenital diaphragmatic hernia (CDH). Rupture of the diaphragm occurs in only approximately 5% of severe closed thoraco-abdominal injuries, making it a relatively uncommon complication of trauma. Asymptomatic instances to severe respiratory or gastrointestinal symptoms are all possible clinical presentations. Anamnesis, clinical symptoms, and radiological examinations all contribute to the diagnosis. Diaphragmatic hernia cases with respiratory and gastrointestinal symptoms were hospitalised to our Academic Department of General Surgery six times between May 2013 and June 2016 (four females, two males; mean age 58 years). There were chest X-rays, barium studies, and CT scans done. In Case 1, a transverse and descending colon was herniated into a left diaphragmatic hernia. Case 2 exhibited left CDH, allowing the colon, spleen, and stomach to pass. Cases 3 and 6 both had a stomach-in-hemithorax finding.