South African Journal of Surgery
On-line version ISSN 2078-5151
MANSOOR, E. Post-traumatic diaphragmatic hernias - importance of basic radiographic investigations. S. Afr. j. surg. [online]. 2013, vol.51, n.2, pp. 75-76. ISSN 2078-5151.
This case presentation highlights important principles in the management of post-traumatic diaphragmatic hernia. A suggestive history should prompt early diagnosis even if the patient appears well. The chest radiograph, although not pathognomonic, is extremely useful in the detection of diaphragmatic hernia if accurately interpreted. Herniated bowel is at high risk of strangulation, especially in the presence of a 'ribbon sign'. Delayed operative intervention can prove fatal.