Tension fecopneumothorax secondary to unrecognized delayed traumatic diaphragmatic hernia

Abstract

Traumatic diaphragmatic hernia is an uncommon but severe problem that is usually seen in patients suffered from blunt or penetrating thoracoabdominal injuries. Despite advances in modern technology, 30–50% of traumatic diaphragmatic ruptures are missed on initial presentation. We report a case of tension fecopneumothorax secondary to an undiagnosed delayed traumatic diaphragmatic hernia in a patient, who sustained blunt trauma chest 15 years back. This case is being presented to emphasize readers that, the diagnosis of diaphragmatic injuries is challenging and requires a high index of clinical suspicion, late presentations are associated with increased morbidity and mortality.

http://ift.tt/2h2VEEK