Post-traumatic diaphragmatic hernia is a rare and potentially life-threatening condition that can occur after blunt or penetrating trauma. Delayed presentations are uncommon, but can lead to serious complications, such as bowel obstruction. We report a case of a 31-year-old male patient who presented five years after a thoracic trauma with symptoms of intestinal obstruction and was diagnosed with a delayed post-traumatic diaphragmatic hernia. The diagnosis was made through contrast-enhanced computed tomography scan, and the patient underwent laparoscopic repair with mesh reinforcement. This case highlights the importance of considering diaphragmatic hernia in the differential diagnosis of patients with a history of trauma, even if the presentation is delayed. Prompt diagnosis and surgical intervention are crucial to prevent serious complications and improve patient outcomes. This study adds to the existing literature on traumatic diaphragmatic hernias, emphasizing the need for enhanced clinical awareness, interdisciplinary cooperation, and surgical repair.

Post-traumatic diaphragmatic hernia: a rare case of intestinal obstruction / C. Guerci, A. Kazemi Nava, G. Goi, L. Ferrario, F. Cammarata, G. Lamperti, P. Danelli. - In: JOURNAL OF SURGICAL CASE REPORTS. - ISSN 2042-8812. - 2025:3(2025 Mar), pp. rjaf163.1-rjaf163.4. [10.1093/jscr/rjaf163]

Post-traumatic diaphragmatic hernia: a rare case of intestinal obstruction

F. Cammarata
;
G. Lamperti
Penultimo
;
P. Danelli
Ultimo
2025

Abstract

Post-traumatic diaphragmatic hernia is a rare and potentially life-threatening condition that can occur after blunt or penetrating trauma. Delayed presentations are uncommon, but can lead to serious complications, such as bowel obstruction. We report a case of a 31-year-old male patient who presented five years after a thoracic trauma with symptoms of intestinal obstruction and was diagnosed with a delayed post-traumatic diaphragmatic hernia. The diagnosis was made through contrast-enhanced computed tomography scan, and the patient underwent laparoscopic repair with mesh reinforcement. This case highlights the importance of considering diaphragmatic hernia in the differential diagnosis of patients with a history of trauma, even if the presentation is delayed. Prompt diagnosis and surgical intervention are crucial to prevent serious complications and improve patient outcomes. This study adds to the existing literature on traumatic diaphragmatic hernias, emphasizing the need for enhanced clinical awareness, interdisciplinary cooperation, and surgical repair.
diaphragmatic hernia; hernia; laparoscopy; surgery; trauma
Settore MEDS-06/A - Chirurgia generale
mar-2025
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1157476
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