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Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 23-26

Diaphragmatic rupture presenting with strangulated hernia: Report of two cases

Department of Surgery, University of Uyo Teaching Hospital, Uyo, Akwa Ibom, Nigeria

Correspondence Address:
Dr. Isaac Assam Udo
Department of Surgery, University of Uyo Teaching Hospital, Uyo, Akwa Ibom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1597-1112.192846

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Traumatic rupture of the diaphragm can complicate blunt abdominal trauma. It is rare in our practice, and its diagnosis may be delayed if the index of suspicion is low among emergency room physicians. Imaging studies can easily confirm the diagnosis of diaphragmatic rupture. Herniation of organs and viscera through the diaphragmatic defect occurs commonly, and same may obstruct or strangulate and worsen the outcome. We present two adults with complaints of severe acute abdominal pain and a history of high-speed vehicular trauma whose definitive diagnoses were delayed. The presence of air-fluid levels in the left hemithorax on a chest radiogram and a history of blunt abdominal injury made us arrive at the diagnosis of intestinal obstruction secondary to traumatic diaphragmatic hernia.

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