Clinical analysis of a rare case of chronic traumatic diaphragmatic hernia with multiple organ displacement in an adult

doi:10.3877/cma.j.issn.1674-392X.2026.05.019

Abstract

Abstract:

This report describes a rare case of chronic traumatic diaphragmatic hernia with displacement of multiple organs in an adult and reviews its clinical features, diagnostic approaches, and laparoscopic management strategies. The diagnostic and therapeutic course of this case is retrospectively analyzed, and key considerations in the diagnosis and treatment of this condition are summarized to improve clinical recognition and management.

Key words: Hernia, diaphragmatic, traumatic, Laparoscopy, Tomography, X-ray computed, Herniorrhaphy, Surgical mesh

Yan Chu, Rong Yang, Fuhui Li, Tao Lu, Taicheng Zhou. Clinical analysis of a rare case of chronic traumatic diaphragmatic hernia with multiple organ displacement in an adult[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(05): 598-600.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2026.05.019

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2026/V20/I05/598

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[1]	杨大业, 董彪, 张德巍. 创伤性膈疝及膈肌损伤诊治体会[J]. 临床急诊杂志, 2015, 16(6): 463-465.
[2]	刘伟, 黄杰, 谢颂平. 创伤性膈疝32例诊治体会[J]．临床外科杂志, 2018, 26(8): 616-617．
[3]	周晨阳, 崔鲁邹, 鲍广建, 等. 左侧隐匿创伤性膈疝并重度复合外伤一例[J]. 肝胆胰外科杂志, 2024, 36(11): 702-705.
[4]	黄文涛, 罗占元, 陈晓明, 等. 创伤性膈疝的诊断与治疗[J]. 中华创伤杂志, 2002, 18(12): 737-738.
[5]	李辉. 胸外科学[M]. 北京: 北京大学医学出版社, 2010: 271.
[6]	Giuffrida M, Perrone G, Abu-Zidan F, et al. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper[J]. World J Emerg Surg, 2023, 18(1): 43.
[7]	徐海燕, 王武军．CT对创伤性膈疝及膈肌损伤的诊断价值-8个相关研究的Meta分析[J]．循证医学, 2009, 9(2): 91-97.
[8]	陈双. 腹壁切口疝诊疗理念与技术革新[J]. 中华消化外科杂志, 2025, 24(9): 1144-1147.
[9]	赵珞, 韩志军, 刘洪生, 等. 迟发性膈肌破裂合并膈疝40例[J]. 中华胸心血管外科杂志, 2018, 34(7): 391-393.

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