Post-traumatic diaphragmatic hernias: diagnostic difficulties, treatment (clinical observations)

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Abstract

An increase in the number of cases of combined and multiple injury among the population leads to an increase in the prevalence of the diaphragm damage. At the same time, developing shock states and prevailing damage to the breast and abdomen, as well as the absence of specific clinical symptoms make it difficult to detect damage to the diaphragm, which leads to medical diagnostic errors and complications. The article discusses clinical cases of successful surgical treatment of patients with post-traumatic false hernias of the diaphragm.

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About the authors

S. Yurov

I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital No. 20

Author for correspondence.
Email: sergey.yurov.1978@mail.ru
Russian Federation, Krasnoyarsk

D. V. Cherdantsev

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
ORCID iD: 0000-0002-4743-4565
SPIN-code: 6760-3354

Professor, MD

Russian Federation, Krasnoyarsk

A. A. Dudarev

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
SPIN-code: 4141-3701
Russian Federation, Krasnoyarsk

Yu. G. Trofimovich

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
ORCID iD: 0000-0001-9956-9771
SPIN-code: 3347-1827
Russian Federation, Krasnoyarsk

O. V. Pervova

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
ORCID iD: 0000-0002-2797-1611
SPIN-code: 6689-6490

Professor, MD

Russian Federation, Krasnoyarsk

V. Kovrigin

I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital No. 20

Email: sergey.yurov.1978@mail.ru
Russian Federation, Krasnoyarsk

M. Baeva

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
Russian Federation, Krasnoyarsk

A. Makarchuk

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: sergey.yurov.1978@mail.ru
Russian Federation, Krasnoyarsk

A. Saverchenko

I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital No. 20

Email: sergey.yurov.1978@mail.ru
Russian Federation, Krasnoyarsk

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Supplementary files

Supplementary Files
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2. Fig. 1. Multispiral computed tomography of the abdominal cavity and retroperitoneum with bolus contrast enhancement: defect of the left dome of the diaphragm with splenic angle of the colon and large omentum

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3. Fig. 2. Radiography of Patient Z.: a – review radiography of the chest in two projections; б, в – sighting radiography in two projections; г – sighting radiography in the supine position

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4. Fig. 3. Laparoscopy performed on Рatient Z.: a – view of the surgical field; б – the splenic angle of the colon and the greater omentum are detected in the posttraumatic diaphragmatic defect; в – posttraumatic hernia defect of the left dome of the diaphragm; г – plasty of the diaphragmatic defect with local tissues.

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5. Fig. 4. Review radiography of Рatient Ch. on admission to the surgical hospital

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6. Fig. 5. Multispiral computed tomography of Patient Ch.: a defect in the diaphragm, the colon goes through the defect into the pleural cavity

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