CASE REPORT |
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Year : 2020 | Volume
: 9
| Issue : 5 | Page : 2555-2557 |
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Post-traumatic diaphragmatic hernia: Diagnostic dilemma in primary care
Nagasubramanyam Vempalli1, Sireesha Reddy Konda2, Nidhi Kaeley1, Bharat B Bhardwaj1, Subodh Kumar1
1 Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India 2 Department of Plastic Surgery, Himalayan Institute of Medical Sciences, Jolly Grant, Uttarakhand, India
Correspondence Address:
Dr. Nidhi Kaeley Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jfmpc.jfmpc_160_20
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Diaphragmatic hernia (DH) is a common condition following blunt trauma to upper abdomen and is also a commonly missed diagnosis. Its early anticipation in post-traumatic setting is very important to avoid any further life-threatening sequelae. X-ray chest with a nasogastric tube is a simpler way to diagnose this condition. CT scan is a gold standard tool to confirm diagnosis. Due to wide availability of ultrasound (US) in emergency room (ER), this tool will decide the correct way of further evaluation avoiding unnecessary delays in management. We present a case of a diaphragmatic hernia followed by blunt injury abdomen with multiple herniated abdominal contents successfully managed by early intervention.
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