Table of Contents
ISRN Surgery
Volume 2011, Article ID 458390, 4 pages
http://dx.doi.org/10.5402/2011/458390
Case Report

Strangulated Tension Viscerothorax with Gangrene of the Stomach in Missed Traumatic Diaphragmatic Rupture

1Cardiothoracic Surgery Unit, Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife 220005, Nigeria
2Department of Anaesthesia, College of Health Sciences, Obafemi Awolowo University, Ile-Ife 220005, Nigeria

Received 7 March 2011; Accepted 29 April 2011

Academic Editors: M. Caputo, F. A. Luchette, J. M. Porter, and E. M. Targarona

Copyright © 2011 Uvie Onakpoya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acquired diaphragmatic hernias are usually posttraumatic in occurrence. In patients who have blunt trauma and associated diaphragmatic hernia, the diagnosis may be missed or delayed, often leading to poor treatment outcomes. We present a rare occurrence of tension viscerothorax due to missed traumatic diaphragmatic rupture in a 25-year-old woman whose condition was complicated by gangrene and perforation of the fundus as well as questionable viability of the anterior wall of the body of the stomach. The patient had a successful emergency transabdominal suture plication of the diaphragm and gastroplasty and has remained symptomless 3 months postoperatively.