Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury

Gustavo Dragustinovis Hinojosa; Jorge Aurelio Gutiérrez González; Dario Eduardo Medina Muñoz; Gerardo Enrique Muñoz Maldonado

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Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury

Dragustinovis-Hinojosa, Gustavo ^[1] ; Gutiérrez González, Jorge Aurelio ; Medina Muñoz, Dario Eduardo ; Muñoz Maldonado, Gerardo Enrique
1. [1] Universidad Autónoma de Nuevo León
  
  Universidad Autónoma de Nuevo León
  
  México
Localización: International Journal of Medical and Surgical Sciences, (IJMSS), ISSN-e 0719-532X, ISSN 0719-3904, Vol. 9, Nº. 4, 2022 (Ejemplar dedicado a: December, 2022)
Idioma: inglés
Títulos paralelos:
- Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury
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Resumen
- español
  Traumatic diaphragmatic hernias were first described by Ambroise Paré in 1579, who reported the case of an artillery captain, that presented an intestinal perforation that had caused a diaphragmatic hernia (Bhatti and Dawani, 2015). The timely diagnosis of a traumatic diaphragmatic hernia can be a challenge, which requires extensive knowledge of the kinematics of trauma, as well as clinical and radiological evidence (Petrone et al., 2017). We present the case of a 60-year-old male who presented blunt abdominal trauma due to a traffic accident, causing an undetected diaphragmatic hernia in his initial evaluation; months after de incident goes to the emergency room (ER) with hemodynamic instability and septic shock. A diagnosis of complicated diaphragmatic hernia and fecopneumothorax is made, for which he undergoes surgery.
- English
  Traumatic diaphragmatic hernias were first described by Ambroise Paré in 1579, who reported the case of an artillery captain, that presented an intestinal perforation that had caused a diaphragmatic hernia 1. The timely diagnosis of a traumatic diaphragmatic hernia can be a challenge , which requires extensive knowledge of the kinematics of trauma, as well as clinical and radiological evidence 2. We present the case of a 60-year-old male who presented blunt abdominal trauma due to a traffic accident, causing an undetected diaphragmatic hernia in his initial evaluation; months after de incident goes to the emergency room (ER) with hemodynamic instability and septic shock. A diagnosis of complicated diaphragmatic hernia and fecopneumothorax is made, for which he undergoes surgery.