title: Diaphragmatic hernia: an uncommon cause of dyspepsia.
abstract: Adult onset diaphragmatic hernia is a rare condition with variable clinical manifestations. The majority of adult-onset diaphragmatic hernia is associated with trauma. Blunt thoracic and abdominal trauma associated with a 5% to 7% incidence of diaphragmatic injury, and in 3% to 15% for those with penetrating injury. These injuries may be left unrecognized when they occur but often are uncovered months later during work up for related symptoms. Prompt diagnosis and surgical repair is recommended by most authorities. Traditionally, diaphragmatic hernia is repaired by laparotomy or thoracotomy, or both. Herein, we report a case of adult onset diaphragmatic hernia presented with dyspepsia that was successfully repaired via laparoscopy. Operative approach and technique of diaphragmatic defect closure is elucidated.
authors.affiliation: Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong, SAR, China. wtsiu@netvigator.com
authors.forename: George Pei Cheung
authors.initials: GP
authors.lastname: Yang
authors.forename: Chung Ngai
authors.initials: CN
authors.lastname: Tang
authors.forename: Wing Tai
authors.initials: WT
authors.lastname: Siu
authors.forename: Joe Ping Yiu
authors.initials: JP
authors.lastname: Ha
authors.forename: Yuk Ping
authors.initials: YP
authors.lastname: Tai
authors.forename: Michael KaWah
authors.initials: MK
authors.lastname: Li
mesh_terms: D000328:Adult; D004415:Dyspepsia / Q000209:etiology*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants
chemical_list: D011138:Polytetrafluoroethylene