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Inicio Cirugía Española (English Edition) Delayed Diagnosis of a Traumatic Intrapericardial Diaphragmatic Hernia
Journal Information
Vol. 92. Issue 9.
Pages e57 (November 2014)
Vol. 92. Issue 9.
Pages e57 (November 2014)
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Delayed Diagnosis of a Traumatic Intrapericardial Diaphragmatic Hernia
Hernia diafragmática intrapericárdica postraumática de diagnóstico tardío
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Mauricio Burneo Esteves
Corresponding author
mauricioburneo@hotmail.com

Corresponding author.
, Alejandro Sanchez Arteaga, Jesús Lago Oliver, Fernando Turégano Fuentes
Servicio de Cirugía General y del Aparato Digestivo II, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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We present the image of a 43-year-old patient with a history of blunt abdominal trauma during childhood who complained of dyspepsia and epigastric pain that had been evolving over the previous 18 months. The case was studied with thoracoabdominal CT, where a hernia was observed in the pericardial sac that included the transverse colon and part of the stomach (Fig. 1). The patient was treated with laparoscopic surgery, where a defect measuring 10cm×7cm was seen in the central area of the diaphragm (Fig. 2), with transverse colon and greater omentum contained in the pericardial sac. The abdominal content was reduced and abdominal mesh was used.

Fig. 1
(0.07MB).
Fig. 2
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Please cite this article as: Burneo Esteves M, Sanchez Arteaga A, Lago Oliver J, Turégano Fuentes F. Hernia diafragmática intrapericárdica postraumática de diagnóstico tardío. Cir Esp. 2014;92:e57.

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