1Department of Histopathology, College of Health Sciences, Benue State University, Makurdi, Nigeria
2Department of Radilology, College of Health Sciences, Benue State Universiy, Makurdi, Nigeria
3Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria
4Department of Pathology, National Orthopedic Centre, Enugu, Nigeria
5Department of Histopathology, Benue State University Teaching Hospital, Makurdi, Nigeria
6Department of Laboratory Medicine, State-House Hospital, Asokoro, Abuja, Nigeria
7Faculty of Clinical Science, College of Health Sciences, Benue State University, Makurdi, Nigeria
Diaphragmatic hernia in the absence of trauma is very rare in adults. Congenital diaphragmatic hernia is a major malformation and a relatively common condition found in babies. We present an incidental asymptomatic diaphragmatic hernia found in a middle age man brought for medico-legal autopsy. He was brought in dead with a gunshot wound to the right anterolateral aspect of the neck. With a complex embryological story, congenital abnormalities of the diaphragm are unusual but far more common are the acquired hernia. We discuss the index case and other causes of diaphragmatic hernia.
| [1] | Aydin Kurt, Kemal Ridvan Yazicioglu, Ali Ipek, Ozgur Tosun Mahmet Coskun. Right sided diaphragmatic hernia in an adult without history of trauma: Unusual CT findings. Eur J Gen Med 2004: 1 (3): 55-57. |
| [2] | Gattot D, Boda C, Ughetto S, Perthus I, Robert-Gnansia E, Francannet C, Laurichesse-Delmas H, Jani J, Coste K, Deprest J, Labbe A, Sapin V, Lemery D. Prenatal detection and outcome of congenital diaphragmatic hernia: a French registry-based study. Ultrasound Obstet Gynecol 2007, 29: 276-283View Article PubMed |
| [3] | Kapur B, Thomas S. Adult Bochadalek Hernia-Clinical features, management and results of treatment. Japanese Journals of Surgery 1991; 21: 114-9.View Article |
| [4] | Gale ME. Bochadalek Hernia: Prevalence and CT characteristics. Radiology 1985; 156: 449-52.View Article PubMed |
| [5] | Torfs CP, Curry CJ, Bateson TF, Honore LH: A population-based study of congenital diaphragmatic hernia. Tetralogy 1992; 46: 555-565. |
| [6] | Yang W, Carmichael SL, Harris JA, Shaw GM: Epidermiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1988-1997. Birth Defects Res. A Clin Mol Teratol 2006; 76: 170-174.View Article PubMed |
| [7] | Enrica Bianchi, Paola Mancini, Stefania De Vito, Elena Pompili, Samanta Taurone,Isabella Guerrisi, Antonino Guerrisi, Vito D’ Andrea, Vito Cantisani and Marco Artico. Congenital asymptomatic diaphragmatic hernias in adults: a case series. Journal of Medical Case Reports. 2013; 7: 125.View Article PubMed |
| [8] | George Pei Cheung Yang, Chung Ngai Tang, Wing Tai Siu, Joe Ping Yiu Ha, Yuk Ping Tai, Michael KaWah Li. Diaphragmatic hernia: An uncommon cause of dyspepsia. JSLS. 2005 Jul-Sep: 9 (3): 352-355. |
| [9] | Killeen KL, Mirvis SE, Shanmuganathan K. Helical CT of Diaphragmatic Rupture caused by Blunt Trauma. AJR 1999; 173: 1611-6.View Article PubMed |
| [10] | Kearney PA, Rouhana SW, Burnay RE. Blunt Rupture of the Diaphragmatic: Mechanism, Diagnosis, and Treatment. Annals of Emergency Medicine 1989; 18: 1326-30.View Article |
| [11] | Demos TC,Solomon C, Posniak HV, Flisak MJ Computed Tomography in Traumatic defects of the Diaphram. Clinical Imaging 1989; 13: 62-7.View Article |
| [12] | Mar Fan MJ, Coulson ML, Siu SK. Adult Incarcerated Right-sided Bochdalek Hernia. Aust NZJ Surg 1999; 69: 239-41.View Article |
| [13] | Harold Ellis: The diaphragm In Clinical Anatomy. 11th Ed. Blackwell publishing UK: 2006: 14-18. |
| [14] | Johnson, CD and Ellis, H. Acquired hernias of the diaphragm. Postgraduate Medical Journal. 1988; 64, 317-321.View Article PubMed |
| [15] | Waldschmidt, M.L & Laws H.L. Injuries of the diaphragm. J Trauma 1980, 20: 587-592. |
| [16] | Brearley, S. & Tubbs, N. Rupture of the diaphragm in blunt injuries of the trunk. Injury 1981, 12: 480-484View Article |
| [17] | Williams, R.S Traumatic rupture of the diaphragm. Med J Aust 1982, 1: 208-201. PubMed |
| [18] | McElwee, TB, Myers, R.T & Pennell, T.C. Diaphragmatic rupture from blunt trauma. Am Sur 1984, 50: 143-149. PubMed |
| [19] | Visset, J., Le Neel, J.C. Duveau, D, Paineau, J. & Hingrat, J.Y. Ruptures traumatiques du diaphragm. Presse Med 1983, 12: 1211-1214. PubMed |
| [20] | van der Werken, C, Lubbers, E.J.C. & Goris, R.J.A. Rupture of the diaphragm by blunt trauma as a marker of injury severity. Injury 1984, 15: 149-152.View Article |
| [21] | McCune, R.P., Roda, C.P. & Eckert, C. Rupture of the diaphragm caused by blunt trauma. J Trauma 1976, 16: 531-537.View Article PubMed |
| [22] | Ward, R.E., Flynn, T.C. & Clark, W.P. Diaphragmatic disruption secondary to blunt abdominal trauma, J. Trauma 1981, 21: 35-38.View Article PubMed |
| [23] | Ahrend TR, Thompson BW. Hernia of the foremen of Bochadalek in the adult. Am J Surgery 1971: 122: 612-615.View Article |
| [24] | Nouheim K.S. Adult presentation of unusual diaphragmatic hernias. Chest Surg Clin. N Amer 1998; 8: 359-369. |
| [25] | Wiseman NE, Macpherson RI. “Acquired” congenital diaphragmatic hernia J. Paediatr Surg 1997: 12: 657.View Article |
| [26] | Wilkins, AC, Govodes, GF, HibbeIn, JF. Imaging findings in adult Bochdaleck hernias. Clin Imaging 1994; 18: 224-229.View Article |
| [27] | Niville, EC, Himpens, JN, Bruosa, PC & Gruwez,J A. The use of laparotomy in the treatment of recent diaphragmatic rupture due to blunt trauma. Injury 1984, 15: 153-155.View Article |
| [28] | Rodriguez-Morales. G., Ridriguez, A & Shatney, CH. Acute rupture of the diaphragm in blunt trauma; analysis of 60 patients. J Trauma 1986; 26: 438-444.View Article PubMed |
