RIGHT DIAPHRAGMATIC HERNIA WITH LIVER LUXATION

M. Moujahid*, V. A. Blata, I. Talbi, Y. Mehdahoui, A. Laalou, R. Chouiba, F. Mohafid, M. Laaroussi, M. Friha, N. Njoumi, M. Najih, M. Yaka, H. Laraqui, A. Ehirchiou and A. Zentar

ABSTRACT

The post traumatic diaphragmatic hernia often goes unnoticed because it often complicates a violent trauma but most of the time rest asymptomatic. It is recommended to evoke it systematically in case of thoracoabdominal closed trauma or by bladed weapon to diagnose it in time and avoid its complications. Keywords: Diaphragmatic Hernia, Hernias post traumatic, diagnosis and treatment. Observations: We report two cases of post traumatic diaphragmatic hernia associated with a hepatic dislocation collaged in the service of general surgery at the 5th Military Hospital. Results: The age of both patients was respectively of 45 and 72 years old. The medical imaging allowed to make the clinical diagnosis by showing the presence of the intestine in intra thoracic associated with a hepatic hernia. The surgery estimates better the hurts at the same time as she allows their treatment. Operated by a suture of diaphragmatic breach with a prothetic strengthening. The follow up were simple without any sign of recurrence.

Keywords: Diaphragmatic Hernia, Diaphragmatic rupture, Liver Herniation, Diagnostic and Treatment.