title: [Delayed traumatic diaphragmatic hernia with strangulated stomach; report of a case].
abstract: A 30-year-old male who had suffered from the left hemopneumothorax due to the traffic accident 13 years before was admitted to our hospital suffering from abdominal pain. Computed tomography revealed the stomach was incarcerated through the left central tendon of the left diaphragm. He was diagnosed as delayed traumatic diaphragmatic hernia and emergency operation was performed via thoracic approach. Stomach and omentum, densely adhered to the lung and the chest wall, were strangulated in the left pleural cavity and hardly reducible. Stomach and omentum were reduced through the enlarged hernia and necrotized stomach was totally resected under the subsequent laparotomy. Hernia was closed directly via thoracic approach. A prompt diagnosis is necessary for a case highly suspicious of delayed traumatic diaphragmatic hernias presenting with strangulation.
authors.affiliation: Department of Cardiothoracic Surgery, JR Tokyo General Hospital, Tokyo, Japan.
authors.forename: Katsuhito
authors.initials: K
authors.lastname: Ueno
authors.forename: Y
authors.initials: Y
authors.lastname: Murota
authors.forename: M
authors.initials: M
authors.lastname: Takeda
authors.forename: A
authors.initials: A
authors.lastname: Katayama
authors.forename: K
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D004630:Emergencies; D005743:Gastrectomy; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D009336:Necrosis; D013272:Stomach Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed