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Abstract
Symptoms, signs, and definitions of strangulation and incarceration in diaphragmatic
herniation are surveyed, and four patients with strangulated diaphragmatic hernia
are reported on. Although the symptoms may be uncharacteristic, the diagnosis is easily
made, if kept in mind. X-ray examination of the chest, possibly supplemented by a
barium meal, usually indicates the diagnosis. The mortality rate in our series was
high, similar to the findings in other series in the literature. Since approximately
half of the cases of incarcerated and/ or strangulated diaphragmatic hernia are due
to overlooked traumatic diaphragmatic rupture, we stress the importance of diagnosing
and treating such rupture promptly to reduce the mortality rate.
Strangulated diaphragmatic hernia is a clinical entity on the borderline between the
fields of thoracic and general surgery. The disorder is often overlooked or improperly
treated, possibly because most units have limited experience with this particular
phenomenon.
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References
- Strangulated diaphragmatic hernia.J Thorac Surg. 1958; 36: 102
- Volvulus of the stomach.Acta Chir Scand. 1952; 103: 131
- Surgery of the Chest.in: 2nd ed. Saunders, Philadelphia1969: 262
- Strangulated diaphragmatic hernia.Ann Surg. 1948; 128: 210
- Strangulated diaphragmatic hernia.Thorax. 1969; 23: 541
- Rupture of diaphragma.Thorax. 1974; 29: 559
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© 1975 Published by Elsevier Inc.
