“Hernia diafragmática secundaria a trauma toraco-abdominal cerrado”

Abstract

Post-traumatic diaphragmatic hernia is defined as the passage of intra-abdominal organs into the thoracic cavity; this is a rare entity with a greater presentation in males and in adults; its clinical presentation is often obscured by the severity of the lesions It is important that members of the health staff maintain a high degree of suspicion in all patients who have suffered trauma, especially in patients who have suffered lateral trauma, its resolution is eminently surgical.

The present case is a 67 year old patient who suffers a traffic accident with left lateral impact, after which he presents severe pain in the left hemithorax, is transferred to a health home where laboratory tests and The chest X-ray shows the presence of a gastric chamber in the thoracic cavity. Therefore, it is consulted at the surgery department, who decide to keep the patient under observation. On the third day of hospitalization, the patient presents clinical deterioration, with increasing respiratory difficulty and greater requirement for oxygen, so that an immediate surgical resolution is decided. The presence of a tear of +/- 8 cm left posterior of diaphragm, 75% of the stomach and spleen in the thoracic cavity, the patient presents a favorable evolution during the postoperative period, is maintained during surgery in observation for 9 days and is discharged.