摘要
Post traumatic diaphragmatic injuries have long been known. However their varied clinical, expressions lead to difficulties which cause its delay. The occurrence of herniation of hollow viscera in the thoracic cavity followed by its necrosis or perforation, is a delayed complication, a rare entity with a poor prognosis. The discovery of a colonic tumor in a diaphragmatic hernia is an exceptional clinical circumstance. Here we report the case of a patient with a complicated diaphragmatic hernia, whose symptoms are precipitated by the presence of a colon stenosing tumor. The management consisted of an exclusive laparotomy had allowed dealing in one surgical intervention with both the abdominal and thoracic injuries.
Post traumatic diaphragmatic injuries have long been known. However their varied clinical, expressions lead to difficulties which cause its delay. The occurrence of herniation of hollow viscera in the thoracic cavity followed by its necrosis or perforation, is a delayed complication, a rare entity with a poor prognosis. The discovery of a colonic tumor in a diaphragmatic hernia is an exceptional clinical circumstance. Here we report the case of a patient with a complicated diaphragmatic hernia, whose symptoms are precipitated by the presence of a colon stenosing tumor. The management consisted of an exclusive laparotomy had allowed dealing in one surgical intervention with both the abdominal and thoracic injuries.
作者
Mohammed Elkehal
Sani Rabiou
Boubacar Efared
Saad Slaiki
Hicham Elbouhadouti
Yassine Ouadnouni
Nawal Hammas
Taoufiq Harmouch
Mohamed Smahi
Mohammed Elkehal;Sani Rabiou;Boubacar Efared;Saad Slaiki;Hicham Elbouhadouti;Yassine Ouadnouni;Nawal Hammas;Taoufiq Harmouch;Mohamed Smahi(Department of Visceral Surgery, Hassan II University Hospital, Fez, Morocco;Department of Thoracic Surgery, Hassan II University Hospital, Fez, Morocco;Department of Cyto-Pathology, Hassan II University Hospital, Fez, Morocco;Faculty of Medicine and Pharmacy, Sidi Mohamed Benabdellah University, Fez, Morocco)
