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Twenty-seven year old man presenting with a strangulated diaphragmatic hernia eight years after the initial injury
  1. Reena Morjaria,
  2. Hashim Al-Gailani,
  3. Sikander Afzal,
  4. Sohail Sabir,
  5. Saad Salman
  1. Rochdale Infirmary (Pennine Acute Hospitals Trust), Whitehall Street, Rochdale OL12 0NB, UK
  1. Correspondence to Reena Morjaria, reena.morjaria{at}doctors.org.uk

Summary

A 27-year-old man presented with a 5 day history of abdominal pain and distension, with associated constipation and vomiting. He had presented 8 years earlier following a traumatic injury to the left side of the chest, and no diaphragmatic injury was reported at that time. On this admission, a computed tomography scan showed herniation of the splenic flexure of the colon into the left hemithorax. Subsequently, he had an emergency laparotomy for resection, with formation of a loop ileostomy. The various imaging techniques all have advantages and disadvantages when diagnosing a traumatic diaphragmatic hernia. It is the clinician’s role to maintain a high index of suspicion when a patient initially presents with trauma where a traumatic diaphragmatic hernia may be a possibility.

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Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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