• Clinical-evolutive, diagnostic and treatmental particularities in traumatic diaphragmatic hernia in children. Clinical case presentation and literature review
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Clinical-evolutive, diagnostic and treatmental particularities in traumatic diaphragmatic hernia in children. Clinical case presentation and literature review

Paediatric surgery.Ukraine.2020.2(67):73-77; doi 10.15574/PS.2020.67.73
Babuci S.1,2, Eremia V.2, Petrovici V.1
1PMSI Institute of Mother and Child National Scientific-Practical Center of Pediatric Surgery
«Natalia Gheorghiu», Chisinau, Republic of Moldova
2Nicolae Testemițanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova

For citation: Babuci S, Eremia V, Petrovici V. (2020). Clinical-evolutive, diagnostic and treatmental particularities in traumatic diaphragmatic hernia in children. Clinical case presentation and literature review. Paediatric Surgery.Ukraine. 2(67): 73-77. doi 10.15574/PS.2020.67.73
Article received: Apr 12, 2020. Accepted for publication: Jun 08, 2020.

Diaphragmatic-traumatic hernia represents an entity in the child. Frequency reduced, delayed clinical manifestations, nonspecific symptomatology determines multiple diagnostic difficulties, which increases the risk of developing severe complications.
The authors present the case of a 4-year-old child with late manifestations of traumatic diaphragmatic hernia. The certainty diagnosis was established at thoracic CT with dynamic contrast in angiographic regime. The child underwent surgical treatment.
The authors concluding that the primary repair with the application of nonabsorbable sutures and the concomitant use of the acellular pericardial mold for consolidation is an effective option in the surgical reconstruction of traumatic diaphragmatic defects in children.
The authors declare no conflicts of interests.
Key words: children, traumatic diaphragmatic hernia, complications, surgical treatment.

REFERENCES

1. El-Yacub AI, Bello UM, Sheshe AA, Naaya HU. (2017). Delayed presentation of posttraumatic diaphragmatic hernia masquerading as recurrent acute asthmatic attack. Case Report. Hindawi Case Rep. Med. Art. ID 5037619. 3 pag. https://doi.org/10.1155/2017/5037619; PMid:29056971 PMCid:PMC5625800.

2. Hurdle V, Ly K, Yeung JK, Graham AJ, Gelfand GA, Schrag C. (2018). Reconstruction of diaphragmatic defects with human acellular dermal matrix: A case series and literature review. Plastic Surg. Case Studies. 4: 1-5. https://doi.org/10.1177/2513826X17751113.

3. Kishore GS, Gupta V, Doley RP, Kudari A, Kalra N. (2010). Traumatic diaphragmatic hernia: tertiary centre experience. Hernia. 14: 159-64. https://doi.org/10.1007/s10029-009-0579-x; PMid:19908108

4. Kumar KJ, Kumar MG. (2013). Delayed presentation of traumatic diaphragmatic hernia. Indian Pediatrics. 50: 709. https://doi.org/10.1007/s13312-013-0179-9; PMid:23942442

5. Latic F, Delibegovic S, Latic A, Samardzic J, Zerem E. (2010). Laparoscopic repair of traumatic diaphragmatic hernia. Med. Arch. 64(2): 121-2.

6. Lu J, Wang B, Che X, Li X, Qiu G. (2016). Delayed traumatic diaphragmatic hernia: A case-series report and literature review. Medicine (Baltimore). 95(32): e4362. https://doi.org/10.1097/MD.0000000000004362; PMid:27512848 PMCid:PMC4985303

7. Lundgren J, Mousavie SH, Negahi AR, Varga G, Granehed H. (2017). A review on Traumatic diaphragmatic rupture. Trauma Emerg. Care. 2(5): 1-4. https://doi.org/10.15761/TEC.1000145.

8. Marzona F, Parri N, Nocerino A, Giacalone M, Valentini E. (2019). Traumatic diaphragmatic rupture in pediatric age: review of the literature. Eur. J. Trauma Emerg. Surg. 45(1): 45-58. https://doi.org/10.1007/s00068-016-0737-7; PMid:27770153

9. Okur MH, Uygun I, Arslan MS, Aydogdu B, Turkoglu A. (2014). Traumatic diaphragmatic rupture in children. J. Pediatr. Surg. 49: 420-3. https://doi.org/10.1016/j.jpedsurg.2013.11.056; PMid:24650469

10. Sokolov YuYu, Khaspekov DV, Topilin OG, Shakhin AV, Rassovsky SV, Pachek OA. (2014). Thoracoscopic correction of posttraumatic diaphragmatic hernia in a child with combined injury. Pediatr. Surg. (Rus.). 6: 52-4.