Akademik Veri Yönetim Sistemi
18.Ulusal Acil Tıp Kongresi 9th intercontinental Emergency Medicine Congress 9th international Critical Care And Emergency Medicine Congress, Antalya, Türkiye, 27 - 30 Ekim 2022, ss.106
BACKGROUND: Diaphragmatic hernias are the protrusion of the abdominal organs into the thorax as a result of a defect in the diaphragm. It is divided into congenital and acquired hernias. The most common type is a congenital diaphragmatic hernia. Otherwise, trauma is the most common acquired cause. In this article, we aimed to present a case with congenital right diaphragmatic hernia, which did not show any symptoms until advanced age, in the light of the literature.
CASE REPORT: A 63-year-old female patient was admitted to our clinic with complaints of abdominal pain, swelling in the abdomen, shortness of breath, and inability to pass gas and stool. It was learned that the patient, who had no history of trauma, had undergone a gynecological operation in her anamnesis. Abdominal examination revealed distension. Laboratory tests did not detect any abnormality. In the standing empty abdominal direct radiograph (abdominal X-ray) of the patient, there was elevation in the right diaphragm, dilatation in the colonic loops, and colonic gas shadows. Contrast-enhanced abdominal computed tomography (CT) of the patient showed that the colonic loops were herniated from the approximately 3 cm defect to the right thorax. The case was evaluated in favor of congenital hernia since the gynecological operation area of the patient was not related to the diaphragm. Open diaphragmatic hernia repair was performed on the patient. The patient, who had an uneventful post-operative period, was discharged on the 4th post-operative day.
CONCLUSION: Congenital hernias can be difficult to diagnose if they do not show symptoms despite advancing age. With or without respiratory and cardiac complications; Caution should be exercised in patients with symptoms of nausea, vomiting and gastrointestinal obstruction, and diaphragmatic hernia should be kept in mind as a differential diagnosis.
KEYWORDS: diaphragmatic hernia, intestinal obstruction, advanced age