Strangulated diaphragmatic hernia presenting clinically as pericarditis.
A case of strangulation of the transverse colon in a traumatic left diaphragmatic hernia manifesting as pericarditis is reported. This is unusual because pericardial signs in traumatic diaphragmatic hernia have been previously described in association with direct pericardial injury. This is the only such case where electrocardiographic changes of pericarditis were seen without direct pericardial trauma. The possibility of internal herniation through a traumatic diaphragmatic hernia must be considered in patients with chest symptoms and a compatible history.
Makhija
Rohit
R
Directorate of Surgery, Derriford Hospital, Plymouth PL6 8DH, United Kingdom. rohit100@doctors.net.uk
Akoh
Jacob A
JA
D003108:Colonic Diseases / Q000150:complications / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000175:diagnosis* / Q000503:physiopathology; D013902:Radiography, Thoracic