Strangulated diaphragmatic hernia in an elderly man

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 ob...

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Main Authors: Zakaria AD, Hayati Firdaus, Ng, CY, Yeap, BT, Zainal Abidin ZA
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2021
Online Access:http://journalarticle.ukm.my/17456/1/25_ms0406_pdf_15619.pdf
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author Zakaria AD,
Hayati Firdaus,
Ng, CY
Yeap, BT
Zainal Abidin ZA,
author_facet Zakaria AD,
Hayati Firdaus,
Ng, CY
Yeap, BT
Zainal Abidin ZA,
author_sort Zakaria AD,
collection UKM
description 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.
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spelling ukm.eprints-174562021-09-23T04:16:11Z http://journalarticle.ukm.my/17456/ Strangulated diaphragmatic hernia in an elderly man Zakaria AD, Hayati Firdaus, Ng, CY Yeap, BT Zainal Abidin ZA, 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. Pusat Perubatan Universiti Kebangsaan Malaysia 2021-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/17456/1/25_ms0406_pdf_15619.pdf 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 https://www.medicineandhealthukm.com/toc/16/1
spellingShingle Zakaria AD,
Hayati Firdaus,
Ng, CY
Yeap, BT
Zainal Abidin ZA,
Strangulated diaphragmatic hernia in an elderly man
title Strangulated diaphragmatic hernia in an elderly man
title_full Strangulated diaphragmatic hernia in an elderly man
title_fullStr Strangulated diaphragmatic hernia in an elderly man
title_full_unstemmed Strangulated diaphragmatic hernia in an elderly man
title_short Strangulated diaphragmatic hernia in an elderly man
title_sort strangulated diaphragmatic hernia in an elderly man
url http://journalarticle.ukm.my/17456/1/25_ms0406_pdf_15619.pdf
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AT hayatifirdaus strangulateddiaphragmaticherniainanelderlyman
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AT yeapbt strangulateddiaphragmaticherniainanelderlyman
AT zainalabidinza strangulateddiaphragmaticherniainanelderlyman