Strangulated Diaphragmatic Hernia in an Elderly Man
- Resource Type
- Authors
- Zainal Abidin Za; Hayati Firdaus; BT Yeap; Zakaria Ad; CY Ng
- Source
- Medicine & Health. 16:283-287
- Subject
- medicine.medical_specialty
Lung
medicine.diagnostic_test
business.industry
Congenital diaphragmatic hernia
Physical examination
Late onset
Auscultation
medicine.disease
digestive system diseases
Surgery
medicine.anatomical_structure
Strangulated diaphragmatic hernia
medicine
Abdomen
Diaphragmatic hernia
business
- Language
- ISSN
- 2289-5728
A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal obstruction with a background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination revealed a distended abdomen with high pitched bowel sound and no palpable mass. The right lung was inaudible on auscultation. Computed tomography scan was consistent with a right diaphragmatic hernia and acute intestinal obstruction. We highlight the late onset of a congenital diaphragmatic hernia and emphasize the vital need for perioperative management to ensure a promising surgical outcome.