Strangulated diaphragmatic hernia in an elderly man
A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal ob...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/17456/1/25_ms0406_pdf_15619.pdf http://journalarticle.ukm.my/17456/ https://www.medicineandhealthukm.com/toc/16/1 |
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| Summary: | A congenital diaphragmatic hernia is very uncommon among adults. A
diaphragmatic hernia is primarily acute in onset and it is usually identified after
trauma. It occurs mostly on the left side. We would like to report a 68-year-old
male who presented with a 4-day history of acute intestinal obstruction with a
background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination
revealed a distended abdomen with high pitched bowel sound and no palpable
mass. The right lung was inaudible on auscultation. Computed tomography scan
was consistent with a right diaphragmatic hernia and acute intestinal obstruction.
We highlight the late onset of a congenital diaphragmatic hernia and emphasize the
vital need for perioperative management to ensure a promising surgical outcome. |
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