[Diaphragmatic hernia presenting with colonic strangulation].
Diaphragmatic hernia may be asymptomatic and may have a delayed clinical manifestation. We describe a 78-year-old man who developed colonic obstruction as a complication to a diaphragmatic hernia. Unlike most diaphragmatic hernias, this case was not associated with a trauma. Normally, the diagnosis is made clinically by means of thoracic X-ray, computer tomography or magnetic resonance imagining of the abdomen. In this patient, barium enema showed a tumor-like stenosis of the left colonic flexure, but intraoperative findings demonstrated a defect in the left diaphragm with herniation of the left colonic flexure and the greater omentum.
Svolgaard
Olivia
O
Gastroenheden, Kirurgisk Sektion, Herlev Hospital, DK-2730 Herlev.
Burcharth
Flemming
F
D000368:Aged; D003108:Colonic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography