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DIAPHRAGMATIC HERNIAS WITH VISCERAL COMPLICATIONS

DIAPHRAGMATIC HERNIAS WITH VISCERAL COMPLICATIONS Abstract VISCERAL complications associated with the presence of portions of the gastrointestinal tract as integral parts of diaphragmatic hernias are not common but may be of extreme gravity. We are presenting a series of five cases of diaphragmatic hernia with serious visceral complications. Two of these cases were caused by blunt trauma to the chest. In one case, hernia developed subsequent to a Smithwick type sympathectomy. In a hernia through the foramen of Morgagni symptoms developed only after postoperative distention consequent to a cup arthroplasty. In one case of an esophageal hiatal hernia, a secondary short esophagus and complete esophageal obstruction developed. The difficulties of diagnosis and surgical repair in these cases will be presented. If the hernial content contains esophagus, stomach, duodenum, small intestine, or colon, the visceral accidents may be arranged in order of increasing seriousness as follows: obstruction, incarceration, and strangulation. Incarceration may occur from the development of References 1. Swan, H.; Maresh, G.; Johnson, M. E., and Warner, G.: The Experimental Creation and Closure of Auricular Septal Defects , J. Thoracic Surg. 20:542-551 ( (Oct.) ) 1950. 2. Forsee, J. H.; Swan, H., II; Goyette, E. M., and Makel, H. P.: Calcification of the Pericardium , U. S. Armed Forces M. J. 2:663-666 ( (April) ) 1951. 3. Smithwick, R. H.: A Technic for Splanchnic Resection for Hypertension: Preliminary Report , Surgery 7:1-8 ( (Jan.) ) 1940. 4. Wolfson, S. A., and Goldman, A.: Strangulating Hernia of Liver , Surgery 24:846-852 ( (Nov.) ) 1948. 5. Swan, H.: Personal communication to the authors. 6. Allison, P. R.: Peptic Ulcer of the Esophagus , Thorax 3:20-42 ( (March) ) 1948.Crossref 7. Harrington, S. W.: Diagnosis and Treatment of Various Types of Diaphragmatic Hernia , Am. J. Surg. 50:381-446 ( (Nov.) ) 1940.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

DIAPHRAGMATIC HERNIAS WITH VISCERAL COMPLICATIONS

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020107010
Publisher site
See Article on Publisher Site

Abstract

Abstract VISCERAL complications associated with the presence of portions of the gastrointestinal tract as integral parts of diaphragmatic hernias are not common but may be of extreme gravity. We are presenting a series of five cases of diaphragmatic hernia with serious visceral complications. Two of these cases were caused by blunt trauma to the chest. In one case, hernia developed subsequent to a Smithwick type sympathectomy. In a hernia through the foramen of Morgagni symptoms developed only after postoperative distention consequent to a cup arthroplasty. In one case of an esophageal hiatal hernia, a secondary short esophagus and complete esophageal obstruction developed. The difficulties of diagnosis and surgical repair in these cases will be presented. If the hernial content contains esophagus, stomach, duodenum, small intestine, or colon, the visceral accidents may be arranged in order of increasing seriousness as follows: obstruction, incarceration, and strangulation. Incarceration may occur from the development of References 1. Swan, H.; Maresh, G.; Johnson, M. E., and Warner, G.: The Experimental Creation and Closure of Auricular Septal Defects , J. Thoracic Surg. 20:542-551 ( (Oct.) ) 1950. 2. Forsee, J. H.; Swan, H., II; Goyette, E. M., and Makel, H. P.: Calcification of the Pericardium , U. S. Armed Forces M. J. 2:663-666 ( (April) ) 1951. 3. Smithwick, R. H.: A Technic for Splanchnic Resection for Hypertension: Preliminary Report , Surgery 7:1-8 ( (Jan.) ) 1940. 4. Wolfson, S. A., and Goldman, A.: Strangulating Hernia of Liver , Surgery 24:846-852 ( (Nov.) ) 1948. 5. Swan, H.: Personal communication to the authors. 6. Allison, P. R.: Peptic Ulcer of the Esophagus , Thorax 3:20-42 ( (March) ) 1948.Crossref 7. Harrington, S. W.: Diagnosis and Treatment of Various Types of Diaphragmatic Hernia , Am. J. Surg. 50:381-446 ( (Nov.) ) 1940.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jul 1, 1952

References

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