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VOLUME 59 , ISSUE 4 ( October-December, 2017 ) > List of Articles


Spontaneous Diaphragmatic Hernia Masquerading Hydropneumothorax

Dev Singh Jangpangi, Parul Mrigpuri, Avisham Goyal, Vishal Nidhi Kulshreshtha, Jagdish Rawat, Amitesh Gupta

Keywords : Diaphragmatic hernia, Chest, Thoracotomy

Citation Information : Jangpangi DS, Mrigpuri P, Goyal A, Kulshreshtha VN, Rawat J, Gupta A. Spontaneous Diaphragmatic Hernia Masquerading Hydropneumothorax. Indian J Chest Dis Allied Sci 2017; 59 (4):191-193.

DOI: 10.5005/ijcdas-59-4-191

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2017; The Author(s).


Spontaneous diaphragmatic hernia without any apparent predisposing factor is a very rare condition. We report a case of 28-year-old male who presented with complaints of abdominal pain and gradually increasing breathlessness. Chest radiograph was suggestive of left-sided hydropneumothorax. Diagnosis of diaphragmatic hernia was confirmed by computed tomography. The defect was repaired by open thoracotomy and patient had an uneventful postoperative recovery.

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  1. Sachdeva R, Sachdeva S, Solanki S. Acquired diaphragmatic hernia in an adult male: a diagnostic challenge. Nepal J Med Sci 2013;2:194-6.
  2. Katukuri GR, Madireddi J, Agarwal S, Kareem H, Devasia T. Delayed diagnosis of left-sided diaphragmatic hernia in an elderly adult with no history of trauma. J Clin Diagn Res 2016;10:PD04-5.
  3. Içme F, Vural S, Tanriverdi F, Balkan E, Kozaci N, Kurtoglu GÇ. Spontaneous diaphragmatic hernia: a case report. J Acad Emerg Med 2014;13:209-11.
  4. Jha P, Hutchinson S, Spychal B, Lee CY. Respiratory distress after heavy lifting. J Royal Soc Med 2004;97:290-1.
  5. Ghidirim G, Mishin I, Condratsky E, Zastavnitsky G. Spontaneous diaphragmatic rupture: case report and literature review. Chirurgia (Bucur) 2013;108:99-101.
  6. Lee HY, Yoo SM, Song IS, Yu H, Kim YS, Lee JB, et al. Spontaneous diaphragmatic rupture after vomiting: rapid diagnosis on multiplanar reformatted multidetector CT. J Thorac Imag 2006;21:54-6.
  7. Hamoudi D, Bouderka MA, Benissa N, Harti A. Diaphragmatic rupture during labor. Int J Obstet Anesth 2004;13:284-6.
  8. Dave KS, Bekassy SM, Wooler GH, Ionescu MI. “Spontaneous” rupture of the diaphragm during delivery. Br J Surg 1973;60:666-8.
  9. Orlova KI. Spontannyi razryv diafragmy vo vremia pripadka eklampsii [Spontaneous rupture of the diaphragm during an attack of eclampsia]. Akusherstvo i ginekologiia 1968;44:76-7.
  10. Bisgaard C, Rodenberg JC, Lundgaard J. Spontaneous rupture of the diaphragm. Scand J Thorac Cardiovas Surg 1985;19:177-80.
  11. Kallay N, Crim L, Dunagan DP, Kavanagh PV, Meredith W, Haponik EF. Massive left diaphragmatic separation and rupture due to coughing during an asthma exacerbation. Southern Med J 2000;93:729-31.
  12. Kara E, Kaya Y, Zeybek R, Coskun T, Yavuz C. A case of a diaphragmatic rupture complicated with lacerations of stomach and spleen caused by a violent cough presenting with mediastinal shift. Ann Acad Med (Singapore) 2004;33:649-50.
  13. Dutta T. Spontaneous rupture of diaphragm due to pertusis. J Pediat Surg 1975;10:147-8.
  14. Losanoff JE, Edelman DA, Salwen WA, Basson MD. Spontaneous rupture of the diaphragm: case report and comprehensive review of the world literature. J Thorac Cardiovasc Surg 2010;139:e127-8.
  15. Oh KS, Newman B, Bender TM, Bowen A. Radiologic evaluation of the diaphragm. Radiol Clin North Am 1988;26:355-64.
  16. Gelman R, Mirvis SE, Gens D. Diaphragmatic rupture due to blunt trauma: sensitivity of plain chest radiographs. AJR Am J Roentgenol 1991;156:51-7.
  17. Iochum S, Ludig T, Walter F, Sebbag H, Grosdidier G, Blum AG. Imaging of diaphragmatic injury: a diagnostic challenge? Radiographics 2002;22(Suppl. 1):S103-S16.
  18. Gupta S, Bali RK, Das K, Sisodia A, Dewan RK, Singla R. Rare presentation of spontaneous acquired diaphragmatic hernia. Indian J Chest Dis Allied Sci 2011;53:117-9.
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