Kolon Obstrüksiyonunun Nadir Görülen Bir Nedeni: Travmatik Diafragmatik Herni

Travmatik diafragma hernileri nadirdir, tanı ve tedavisinde bir takım güçlükler vardır. Bu yazıda künt travmadan üç yıl sonra tanı konulan ve splenik fleksuranın herniasyonu edeniyle kolon obstruksiyonu gelișen sol diafragma hernili 43 yașındaki hastamızı sunduk. Hastamıza subtotal kolektomi ve primer iliokolik anastomoz yapıldı ve diafragmatik defekt tamir edildi. Akut kolon obstrüksiyonu gelișen hastalarda travma öyküsü varsa diafragma hernisinden șüphelenilmelidir.

Traumatic Diaphragmatic Hernia as a Rare Cause of Colonic Obstruction

Traumatic diaphragmatic hernia (TDH) is uncommon and presents a diagnostic and therapeutic challenge. Herein, we present the case of a 43-year-old patient with left-sided TDH and colonic obstruction due to herniation of the splenic flexura of the colon, which was diagnosed three years after the initial blunt trauma. A subtotal colectomy and primary ileocolic anastomosis were performed and the diaphragmatic defect was repaired. TDH should be suspected in patients with an acute colonic obstruction, particularly if the patient has a history of trauma
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  • Wirbel RJ, Mutschler W. Blunt 3. Chughtai T, Ali S, Sharkey P, Lins M, rupture of the right hemi-diaphragm with complete dislocation of the right hepatic lobe: Report of a case. Surg Today 1998;8:850-852.
  • Andreev AL, Protsenko AV, Globin AV. Laparoscopic repair of a posttraumatic left-sided diaphragmatic hernia complicated by strangulation and colon obstruction. JSLS. 2010;14: 410-413. Rizoli S. Update on managing diaphragmatic rupture in blunt trauma: a review of 208 consecutive cases. Can J Surg 2009; 52: 177-181.
  • Turhan K, Makay O, Cakan A et al. Traumatic diaphragmatic rupture: Look to see. Eur J Cardiothorac Surg 2008;33:1082-1085.
  • Morgan BS, Watcyn-Jones T. Garner JP. Traumatic diaphragmatic injury. JR Army Med Corps 2010;156:139-149.
  • Yildiz SY, Berkem H, Yuksel BC, et al. Isolated intrathoracic hiatal herniation of the twisted sigmoid colon: Report of a case. Dis Colon Rectum. 2009;52:740-741