Spontaneous Diaphragmatic Hernia

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" Spontaneous Diaphragmatic Hernia "
Darocki, Mark D.; Medak, Anthony

Document Type	:	AL
Record Number	:	927982
Doc. No	:	LA0t43s7bg
Language of Document	:	English
Main Entry	:	Darocki, Mark D.; Medak, Anthony
Title & Author	:	Spontaneous Diaphragmatic Hernia [Article]\ Darocki, Mark D.; Medak, Anthony
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	2/3
Date	:	2018
Abstract	:	A spontaneous diaphragmatic hernia (SDH) occurs when intra-abdominal contents extend into the thoracic cavity through a defect in the diaphragm after a sudden increase in intra-abdominal pressure. SDH is one of the rarest surgical emergencies with less than 30 reported cases in the literature (1,2). In our case a 94-year-old female presented to the emergency department in respiratory distress with unilateral breath sounds and was diagnosed with a SDH. The only treatment option for a SDH is surgical (3,11). However, nasogastric tube decompression of the gastrointestinal tract and supplemental oxygen can be used to alleviate symptoms until definitive operative management is performed.