Strangulated diaphragmatic hernia in an elderly man

Zakaria AD, and Hayati Firdaus, and Ng, CY and Yeap, BT and Zainal Abidin ZA, (2021) Strangulated diaphragmatic hernia in an elderly man. Medicine & Health, 16 (1). pp. 283-287. ISSN 2289-5728


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A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal obstruction with a background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination revealed a distended abdomen with high pitched bowel sound and no palpable mass. The right lung was inaudible on auscultation. Computed tomography scan was consistent with a right diaphragmatic hernia and acute intestinal obstruction. We highlight the late onset of a congenital diaphragmatic hernia and emphasize the vital need for perioperative management to ensure a promising surgical outcome.

Item Type:Article
Keywords:Diaphragmatic hernia; Intestinal obstruction; Multislice computed tomography
Journal:Medicine & Health
ID Code:17456
Deposited By: ms aida -
Deposited On:21 Sep 2021 07:35
Last Modified:23 Sep 2021 04:16

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