n South African Journal of Surgery - Post-traumatic diaphragmatic hernias - importance of basic radiographic investigations : case report

Volume 51, Issue 2
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151



This case presentation highlights important principles in the management of post-traumatic diaphragmatic hernia. A suggestive history should prompt early diagnosis even if the patient appears well. The chest radiograph, although not pathognomonic, is extremely useful in the detection of diaphragmatic hernia if accurately interpreted. Herniated bowel is at high risk of strangulation, especially in the presence of a 'ribbon sign'. Delayed operative intervention can prove fatal.

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