Laparoscopic Approach to Late-Presenting Traumatic Diaphragmatic Hernia: Case Report

Authors

DOI:

https://doi.org/10.20453/rmh.v36i2.5801

Keywords:

Traumatic Diaphragmatic Hernia, multiple trauma, laparoscopy

Abstract

Late-presenting traumatic diaphragmatic hernia is rare and most often caused by blunt trauma. It presents diagnostic challenges and controversial surgical management, which may involve thoracoscopic or laparoscopic approaches to close the defect and minimize the impact on the involved structures. This case reports a man diagnosed 15 years after an open trauma, successfully treated laparoscopically without complications, leading to early discharge and favorable recovery. The case supports the laparoscopic approach as an effective alternative for achieving adequate reduction of herniated abdominal contents and hemostatic control, followed by primary closure, depending on the defect size.

Downloads

Download data is not yet available.

Author Biography

Jaime Oswaldo Majo Meza, Servicio de Cirugía General. Hospital Nacional PNP “Luis N. Saenz”. Lima, Perú.

       

References

Heras Gómez F, Ramos ÁC, Bellino ML, Beatriz C, Rico G, María Á, et al. Traunatic Diaphragmatic Hernia. An Real Acad Med Cir Vall. 2013; 50:55-69.

Gómez G, Fibla J, Farina C. et al. Lesión diafragmática traumática. Revisión de 8 casos. Arch Bronconeumol 2002;38(9):455-7.

Barker-Antonio A, Carmona-Pavón ML, García-Manzano RA, Dávila-Ruiz EO, Escamilla-Orzuna K, Isidoro-Hernández D. Tratamiento de hernia diafragmática traumática. Presentación de caso. Rev Mex Cir Torac Gen. 2020;1(3):95-100. doi:10.35366/101478.

Olivera Fajardo D, Estepa Pérez JL, Pedraza TS, Carillo Pérez M. Hernia diafragmática traumática. Presentación de un caso. Medisur 2015;13(6):807-811.

Kaeley N, Vempalli N, Konda S, Bhardwaj BB, Kumar S. Post-traumatic diaphragmatic hernia: Diagnostic dilemma in primary care. J Family Med Prim Care 2020;9(5):2555-2557. doi: 10.4103/jfmpc.jmfpc_160_20.

Waldschmidt ML, Laws HL. Injuries of the diaphragm. J Trauma 1980; 20:587- 592.

Obaid O, Hammad A, Bible L, Ditillo M, Castanon L, Douglas M, et al. Open Versus Laparoscopic Repair of Traumatic Diaphragmatic Injury: A Nationwide Propensity-Matched Analysis. J Surg Res. 2021; -12; 268:452-458. doi:10.1016/j.jss.2021.07.022.

Petrone P, Asensio JA, Marini CP. Diaphragmatic injuries and post-traumatic diaphragmatic hernias. Curr Probl Surg. 2017 Jan; 54(1):11-32. doi: 10.1067/j.cpsurg.2016.11.001.

Frazzetta G, Lanaia A, Luppi D, Bonilauri S. Emergency laparoscopic surgery for post-traumatic incarcerated diaphragmatic hernia: Defect closure and intraperitoneal mesh manual fixation. Asian J. Surg. 2020;43(8):864-865. doi: 1016/j.asjsur.2020.05.003.

Beltrán M. Presentación tardía de hernia diafragmática traumática con necrosis gástrica: revisión de la literatura científica. rev. colomb. cir. 2013: 28 (1): 49-53. doi: 10.30944/20117582.261.

Gielis M, Bruera N, Pinsak A. et al Laparoscopic repair of acute traumatic diaphragmatic hernia with mesh reinforcement: A case report. Int J Surg Case Rep. 2022. Apr 106910. doi: 10.1016/j.ijscr.2022.106910.

Published

2025-06-30

How to Cite

1.
Majo Meza JO. Laparoscopic Approach to Late-Presenting Traumatic Diaphragmatic Hernia: Case Report. Rev Méd Hered [Internet]. 2025 Jun. 30 [cited 2025 Jul. 17];36(2):152-6. Available from: http://44.198.254.164/index.php/RMH/article/view/5801

Issue

Section

CASE REPORTS