Left Sided Hydro-pneumothorax in a Operated Case of Left Diaphragmatic Hernia Repair: A Diagnostic Dilemma
Correspondence Address :
Dr. Chandrakant Kamlesh Pancholi,
Room no 51, I.H.R Hostel, Sangli Civil Hospital, Sangli, Maharashtra 416 416, India.
E-mail: chiragpancholi007@gmail.com
Diaphragmatic hernia in adults often presents with overlapping respiratory and abdominal symptoms. They may be simple diaphragmatic eventrations or undiagnosed Bochdalek’s hernias or may even be of post traumatic variety. Diaphragmatic hernias may be asymptomatic, present only with respiratory symptoms, or may present with obstruction and strangulation of involved bowel loops with faeco-pneumothorax. The index case was operated for open diaphragmatic hernia repair six years back and admitted for breathlessness with absence of abdominal signs and symptoms. Patient subsequently developed hydro-pneumothorax during conservative management. Emergency laparotomy revealed a gastric ulcer which perforated into the left chest giving rise to hydro-pneumothorax. In present study we would like to report how this unusual presentation led to dilemma in diagnosis and surgical intervention thus increasing the morbidity and mortality of the patient at our institute.
Bilious hydro pneumothorax, Gastric ulcer perforation, Recurrent diaphragmatic hernia
DOI: 10.7860/JCDR/2015/11879.5759
Date of Submission: Oct 29, 2014
Date of Peer Review: Feb 27, 2015
Date of Acceptance: Mar 02, 2015
Date of Publishing: Apr 01, 2015
Financial OR OTHER COMPETING INTERESTS: None.
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