Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Neurological Surgery
- Ophthalmic Surgery
- Vascular Surgery
- Robotic Surgery
- General Surgery
- Otolaryngology - Head and Neck Surgery
- Colon and Rectal Surgery
- Transplant Surgery
Abstract
Citation: Clin Surg. 2018;3(1):1858.Case Report | Open Access
A Missed Case of a Strangulated Right-Sided Diaphragmatic Hernia Containing Perforated Small Bowelin an Elderly Patient
Caitlin T Yeo and Wiley Chung
Department of Surgery, Queen’s University, Kingston, Canada
*Correspondance to: Caitlin T Yeo
PDF Full Text DOI: 10.25107/2474-1647.1858
Abstract
We present a patient who was admitted with hypoxemia and was thought to have a right-sided empyema secondary to a parapneumonic effusion. She was treated for two weeks prior to being transferred for a Thoracic Surgery consultation. On review of imaging she actually had a right diaphragmatic hernia with strangulated, perforated small bowel. She was initially stable but during transfer developed increasing respiratory requirements requiring emergent surgery. Atraumatic adult right-sided incarcerated diaphragmatic hernia with bowel perforation is extremely rare with only two other cases reports involving colon and none involving small bowel. We describe her presentation, management, and post-operative considerations.
Keywords
Diaphragmatic hernia; Perforated small bowel
Cite the article
Yeo CT, Chung W. A Missed Case of a Strangulated Right-Sided Diaphragmatic Hernia Containing Perforated Small Bowelin an Elderly Patient. Clin Surg. 2018; 3: 1858.