Volume 15, Issue 2 (Spring 2026)
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makhsousi B, Ghobadi P, tarighinia A, mazaheri T, javadizadeh A. Surgical management of rare adult diaphragmatic hernias: a case series from a tertiary referral center using non-absorbable primary repair. aumj 2026; 15 (2) : 8
URL: http://aums.abzums.ac.ir/article-1-1963-en.html
URL: http://aums.abzums.ac.ir/article-1-1963-en.html
1- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran
2- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran ,Pourya.ghobadi@yahoo.com
2- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran ,
Abstract: (201 Views)
Introduction: Diaphragmatic hernia is a rare condition that may be congenital, acquired (traumatic or iatrogenic), or idiopathic. Clinical presentation varies widely and may range from asymptomatic cases to life-threatening complications such as incarceration and strangulation. Surgical repair remains the definitive treatment and typically involves reduction of herniated abdominal contents and closure of the diaphragmatic defect using non-absorbable sutures.
Case Presentation: We report three cases of diaphragmatic hernia managed at Imam Reza Hospital, Kermanshah, Iran, a tertiary referral university center. The cases represented distinct etiologies, including a rare right-sided idiopathic diaphragmatic hernia without a history of trauma, a delayed traumatic diaphragmatic hernia diagnosed four months after injury, and an uncommon iatrogenic diaphragmatic hernia occurring after laparoscopic surgery for splenic hydatid disease. Diagnosis was established based on clinical findings and radiologic imaging. All patients underwent surgical repair following reduction of the herniated viscera. The diaphragmatic defects were closed using non-absorbable nylon sutures, applied in an interrupted fashion in one case and continuous fashion in the other two cases. All patients had favorable postoperative outcomes and were discharged in good clinical condition.
Conclusion: These cases highlight the diverse etiologies and clinical presentations of diaphragmatic hernia and emphasize the importance of maintaining a high index of suspicion, particularly in patients with nonspecific symptoms or a history of trauma or abdominal surgery. Early diagnosis and timely surgical intervention are essential to prevent serious complications and achieve favorable outcomes.
Case Presentation: We report three cases of diaphragmatic hernia managed at Imam Reza Hospital, Kermanshah, Iran, a tertiary referral university center. The cases represented distinct etiologies, including a rare right-sided idiopathic diaphragmatic hernia without a history of trauma, a delayed traumatic diaphragmatic hernia diagnosed four months after injury, and an uncommon iatrogenic diaphragmatic hernia occurring after laparoscopic surgery for splenic hydatid disease. Diagnosis was established based on clinical findings and radiologic imaging. All patients underwent surgical repair following reduction of the herniated viscera. The diaphragmatic defects were closed using non-absorbable nylon sutures, applied in an interrupted fashion in one case and continuous fashion in the other two cases. All patients had favorable postoperative outcomes and were discharged in good clinical condition.
Conclusion: These cases highlight the diverse etiologies and clinical presentations of diaphragmatic hernia and emphasize the importance of maintaining a high index of suspicion, particularly in patients with nonspecific symptoms or a history of trauma or abdominal surgery. Early diagnosis and timely surgical intervention are essential to prevent serious complications and achieve favorable outcomes.
Article number: 8
Keywords: Diaphragmatic Hernia, Hernia, Diaphragmatic, Traumatic, Iatrogenic Disease, Surgical Procedures, Operative, Laparoscopy, Case Reports
Type of Study: Case Report |
Subject:
Special
Received: 2025/10/26 | Accepted: 2026/02/07 | Published: 2026/06/06
Received: 2025/10/26 | Accepted: 2026/02/07 | Published: 2026/06/06
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