Trauma-Induced Delayed Presentation of Diaphragmatic Hernia and Gastric Volvulus: A Rare Presentation
نویسندگان
1 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
2 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
3 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
4 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
5 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
6 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
7 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
8 Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
doi
10.30476/beat.2025.106458.1597چکیده
A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting,abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in aparietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination revealed epigastrictenderness, abdominal distension, and diminished bowel sounds. Imaging revealed a 7 cm left diaphragmaticdefect with herniation of the stomach, colon, and mesentery into the thoracic cavity, confirming a diagnosis ofgastric volvulus with a diaphragmatic hernia. An exploratory laparotomy confirmed herniation of the stomach,transverse colon, spleen, and pancreas. The procedure involved derotation of the gastric volvulus, reductionof the herniated organs, and repair of the diaphragmatic tear; a fundoplication was also performed to preventrecurrence. The patient’s recovery was uneventful, and he was discharged on the fifth postoperative day. Heremained asymptomatic at the six-month follow-up. This case underscored the importance of consideringgastric volvulus and diaphragmatic hernia in trauma patients presenting with gastrointestinal symptoms,highlighting the necessity of early diagnosis and prompt surgical intervention.
