Journal of Emergencies, Trauma, and Shock
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INTERDISCIPLINARY CASES
Year : 2009  |  Volume : 2  |  Issue : 2  |  Page : 132-134

Difficult weaning in delayed onset diaphragmatic hernia


Department of Anaesthesiology and Critical Care, JN Medical College, Aligarh Muslim University, Aligarh, India

Correspondence Address:
Syed Moied Ahmed
Department of Anaesthesiology and Critical Care, JN Medical College, Aligarh Muslim University, Aligarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.50750

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Diaphragmatic injuries are relatively rare and result from either blunt or penetrating trauma. Regardless of the mechanism, diagnosis is often missed and high index of suspicion is vital. The clinical signs associated with a diaphragmatic hernia can range from no outward signs to immediately life-threatening respiratory compromise. Establishing the clinical diagnosis of diaphragmatic injuries (DI) can be challenging as it is often clinically occult. Accurate diagnosis is critical since missed DI may result in grave sequelae due to herniation and strangulation of displaced intra-abdominal organs. We present a case of polytrauma with rib fracture and delayed appearance of diaphragmatic hernia manifesting as difficult weaning from ventilatory support.


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