Abstract

ALLOPI, N; WELLMANN, MH  and  BLANCO, VR. Colonic perforation in a right atraumatic diaphragmatic hernia. S. Afr. j. surg. [online]. 2022, vol.60, n.4, pp.316-318. ISSN 2078-5151.  http://dx.doi.org/10.17159/2078-5151/SAJS3725.

A 38-year female with no prior medical or surgical history presented with pleuritic pain and respiratory distress. Imaging revealed a right diaphragmatic hernia with colonic content. At right anterolateral thoracotomy, a diaphragmatic hernia containing a perforated right hemi-colon was found. The colon was resected in the chest and continuity restored via a laparotomy. This case illustrates the risk of obstruction, ischaemia and perforation and highlights the importance of early identification and prompt surgical management to reduce morbidity and mortality.

Keywords : right-sided; atraumatic diaphragmatic hernia; perforated right hemi-colon.

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