Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma
Diaphragmatic Hernia (DH) is the herniation of abdominal contents into the thorax through a rent in the diaphragm. Acquired DH most commonly occurs following a blunt or penetrating trauma to the abdomen with former being common than the later. Very rarely DH can be spontaneous and be asymptomatic...
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JCDR Research and Publications Private Limited
2016-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7544/17506_CE[Ra1]_F(AK)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdf |
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| author | Goutham Reddy Katukuri Jagadesh Madireddi Sumit Agarwal Hashir Kareem Tom Devasia |
| author_facet | Goutham Reddy Katukuri Jagadesh Madireddi Sumit Agarwal Hashir Kareem Tom Devasia |
| author_sort | Goutham Reddy Katukuri |
| collection | DOAJ |
| description | Diaphragmatic Hernia (DH) is the herniation of abdominal contents into the thorax through a rent in the diaphragm. Acquired DH most
commonly occurs following a blunt or penetrating trauma to the abdomen with former being common than the later. Very rarely DH can
be spontaneous and be asymptomatic until it’s very extensive. A 78-year-old presented with breathlessness and chest pain of one month
duration. There was dull note to percussion and absent breath sounds in left lower zone. Auscultation revealed bowel sounds in left infraaxillary and mammary area. Electrocardiogram and laboratory data suggested acute myocardial infarction. Coronary angiogram showed
a triple vessel disease. Roentgenogram was simulating pneumonic consolidation but presence of air shadows was the thing against
pneumonic consolidation. CT imaging of the thorax revealed an extensive left diaphragmatic hernia with viscera and left kidney as its
contents. He was initially taken up for CABG and surgery for diaphragmatic hernia was planned at a later date. This case is important
for its extensive nature and for its rarity as acquired DH rarely occurs spontaneously. Chest roentgenogram must be read cautiously in
all such cases to look for this entity. Auscultation for bowel sounds in the thorax is a diagnostic clue. |
| first_indexed | 2024-12-14T03:38:01Z |
| format | Article |
| id | doaj.art-b5f2f841c5084691ab345d74d118ebe6 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-14T03:38:01Z |
| publishDate | 2016-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b5f2f841c5084691ab345d74d118ebe62022-12-21T23:18:34ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-04-01104PD04PD0510.7860/JCDR/2016/17506.7544Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of TraumaGoutham Reddy Katukuri0Jagadesh Madireddi1Sumit Agarwal2Hashir Kareem3Tom Devasia4Junior Resident, Department of General Medicine, Kmc, Manipal, India.Junior Resident, Department of General Medicine, Kmc, Manipal, India.Senior Registrar, Department of Cardiology, Kmc, Manipal, India.Assistant Professor, Department of Cardiology, Kmc, Manipal, India.Professor, Department of Cardiology, Kmc, Manipal, India.Diaphragmatic Hernia (DH) is the herniation of abdominal contents into the thorax through a rent in the diaphragm. Acquired DH most commonly occurs following a blunt or penetrating trauma to the abdomen with former being common than the later. Very rarely DH can be spontaneous and be asymptomatic until it’s very extensive. A 78-year-old presented with breathlessness and chest pain of one month duration. There was dull note to percussion and absent breath sounds in left lower zone. Auscultation revealed bowel sounds in left infraaxillary and mammary area. Electrocardiogram and laboratory data suggested acute myocardial infarction. Coronary angiogram showed a triple vessel disease. Roentgenogram was simulating pneumonic consolidation but presence of air shadows was the thing against pneumonic consolidation. CT imaging of the thorax revealed an extensive left diaphragmatic hernia with viscera and left kidney as its contents. He was initially taken up for CABG and surgery for diaphragmatic hernia was planned at a later date. This case is important for its extensive nature and for its rarity as acquired DH rarely occurs spontaneously. Chest roentgenogram must be read cautiously in all such cases to look for this entity. Auscultation for bowel sounds in the thorax is a diagnostic clue.https://jcdr.net/articles/PDF/7544/17506_CE[Ra1]_F(AK)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdfacquired diaphragmatic herniapneumonic consolidationpleural effusion |
| spellingShingle | Goutham Reddy Katukuri Jagadesh Madireddi Sumit Agarwal Hashir Kareem Tom Devasia Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma Journal of Clinical and Diagnostic Research acquired diaphragmatic hernia pneumonic consolidation pleural effusion |
| title | Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma |
| title_full | Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma |
| title_fullStr | Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma |
| title_full_unstemmed | Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma |
| title_short | Delayed Diagnosis of Left-Sided Diaphragmatic Hernia in an Elderly Adult with no History of Trauma |
| title_sort | delayed diagnosis of left sided diaphragmatic hernia in an elderly adult with no history of trauma |
| topic | acquired diaphragmatic hernia pneumonic consolidation pleural effusion |
| url | https://jcdr.net/articles/PDF/7544/17506_CE[Ra1]_F(AK)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdf |
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