ArticleSurgical case reports2022
Laparoscopic repair and total gastrectomy for delayed traumatic diaphragmatic hernia complicated by intrathoracic gastric perforation with tension empyema: a case report.
Article in Surgical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Delayed presentation of left-sided penetrating diaphragmatic injury with multivisceral herniation, gastric fundal perforation, and splenic laceration leading to fatal septic shock: a case report from Ethiopia.International journal of surgery case reports · 2026Article
- Strangulated Adult Bochdalek Hernia With Extensive Small Bowel Necrosis and Septic Shock.Cureus · 2026Article
- Article
- Delayed Strangulated Hiatal Hernia Post-gastrectomy Masquerading as Diaphragmatic Hernia: A Diagnostic Pitfall.Cureus · 2025Article
- Trauma-Induced Delayed Presentation of Diaphragmatic Hernia with Gastric Volvulus: A Rare Presentation.Bulletin of emergency and trauma · 2025Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlunt traumatic diaphragmatic hernia (TDH) is a complication of blunt diaphragmatic injury. If missed, it could lead to critical presentations, such as incarceration or strangulation of the herniated intra-abdominal organs, and thus, early surgical repair is required. Methods of the operative approach against delayed TDH remain unclear. Even with the spread of the minimally invasive approach, laparotomy has been predominantly selected for cases with hemodynamic or gastrointestinal complaints. Literature on the use of laparoscopy for repair of such cases is limited, and no study has been conducted for those with intrathoracic gastric perforation. CASE PRESENTATION: A 55-year-old male patient with a history of multiple traumas presented with shock, followed by left hypochondrium pain and vomiting. The patient was admitted to the emergency department of our institution and diagnosed with delayed TDH complicated by intrathoracic gastric perforation, and tension empyema. Emergency surgery using laparoscopic approach was performed, despite unstable hemodynamics, considering orientation, exposure, and operativity compared with laparotomy. Repair of the diaphragm plus total gastrectomy was successfully performed by minimally invasive management. The patient made an uneventful recovery without recurrence after 8 months.
conclusionUnstable hemodynamic conditions and intrathoracic gastric perforation could not be contraindications to laparoscopic repair in treating delayed TDH.
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