FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2921215196> ?p ?o ?g. }

• W2921215196 endingPage "S317" @default.
• W2921215196 startingPage "S316" @default.
• W2921215196 abstract "Purpose: We report a case of diaphragmatic herniation during a colonoscopy, via an occult diaphragmatic weakness from the patient's prior trauma. A 68 y/o male underwent screening colonoscopy with sigmoid polypectomy. The procedure was unremarkable and well tolerated. Five days later, he presented to the hospital with left upper and bilateral lower abdominal crampy pain, associated with nausea, vomiting, loss of appetite, and abdominal distension with no BM for last 5 days. One year prior, he had been involved in a fall, with blunt trauma to his left lateral thorax resulting in multiple rib fractures with flail segment and hemothorax, which was treated with closed thoracostomy drainage. Chest X-ray showed focal elevation of the left diaphragm after treatment for hemothorax. However, the diaphragm appeared intact on CT. Review of systems was remarkable for mild intermittent left upper abdominal pain with early satiety and nausea for several months with worsening of his symptoms for last 5 days since colonoscopy. Physical examination revealed: mild abdominal distension with tympany, tenderness in left upper quadrant and hypoactive bowel sounds. Abdominal-X-ray showed protrusion of the large bowel into the left thoracic cavity along with elevation of the left diaphragm. There was no free air in the peritoneal cavity. Abdominal CT confirmed the herniation of the splenic flexure through a defect in the midportion of the left hemidiaphragm. The proximal colon and terminal ileum were dilated with air-fluid levels consistent with bowel obstruction. Subsequently, the patient underwent exploratory laparotomy which showed left diaphragmatic hernia and incarcerated colon and omentum with colonic obstruction. A reduction repair of the hernia was performed and patient was discharged with an uncomplicated post-op course. Diaphragmatic rupture develops in about 5% of cases of blunt abdominal trauma, and is more frequent on the left side. It may be asymptomatic and diagnosis may be delayed for many years. Because the intraabdominal pressure is higher than intrathoracic pressure, progressive herniation of abdominal contents may occur through the defect. Undiagnosed traumatic diaphragmatic hernia encountered during colonoscopy has been rarely reported. Colon perforation leading to tension pneumothorax has also been described. However, in our case, the patient had no evidence of a diaphragmatic defect after trauma or treatment for left hemothorax. Continuous insufflation of air during the colonoscopy seems to have induced an increase in intra-abdominal pressure, which resulted in conversion of an occult focal diaphragmatic weakness into a true defect leading to sudden herniation of the colon into the thoracic cavity." @default.
• W2921215196 created "2019-03-22" @default.
• W2921215196 creator A5013248682 @default.
• W2921215196 creator A5062867584 @default.
• W2921215196 creator A5078954430 @default.
• W2921215196 date "2010-10-01" @default.
• W2921215196 modified "2023-10-18" @default.
• W2921215196 title "Traumatic Diaphragmatic Hernia: An Unusual Complication of Colonoscopy" @default.
• W2921215196 doi "https://doi.org/10.14309/00000434-201010001-00875" @default.
• W2921215196 hasPublicationYear "2010" @default.
• W2921215196 type Work @default.
• W2921215196 sameAs 2921215196 @default.
• W2921215196 citedByCount "0" @default.
• W2921215196 crossrefType "journal-article" @default.
• W2921215196 hasAuthorship W2921215196A5013248682 @default.
• W2921215196 hasAuthorship W2921215196A5062867584 @default.
• W2921215196 hasAuthorship W2921215196A5078954430 @default.
• W2921215196 hasConcept C121608353 @default.
• W2921215196 hasConcept C126322002 @default.
• W2921215196 hasConcept C141071460 @default.
• W2921215196 hasConcept C142724271 @default.
• W2921215196 hasConcept C20463939 @default.
• W2921215196 hasConcept C204787440 @default.
• W2921215196 hasConcept C2776870353 @default.
• W2921215196 hasConcept C2778435480 @default.
• W2921215196 hasConcept C2778966966 @default.
• W2921215196 hasConcept C2779124032 @default.
• W2921215196 hasConcept C2780580376 @default.
• W2921215196 hasConcept C2780852908 @default.
• W2921215196 hasConcept C2780955771 @default.
• W2921215196 hasConcept C2781074409 @default.
• W2921215196 hasConcept C526805850 @default.
• W2921215196 hasConcept C71924100 @default.
• W2921215196 hasConceptScore W2921215196C121608353 @default.
• W2921215196 hasConceptScore W2921215196C126322002 @default.
• W2921215196 hasConceptScore W2921215196C141071460 @default.
• W2921215196 hasConceptScore W2921215196C142724271 @default.
• W2921215196 hasConceptScore W2921215196C20463939 @default.
• W2921215196 hasConceptScore W2921215196C204787440 @default.
• W2921215196 hasConceptScore W2921215196C2776870353 @default.
• W2921215196 hasConceptScore W2921215196C2778435480 @default.
• W2921215196 hasConceptScore W2921215196C2778966966 @default.
• W2921215196 hasConceptScore W2921215196C2779124032 @default.
• W2921215196 hasConceptScore W2921215196C2780580376 @default.
• W2921215196 hasConceptScore W2921215196C2780852908 @default.
• W2921215196 hasConceptScore W2921215196C2780955771 @default.
• W2921215196 hasConceptScore W2921215196C2781074409 @default.
• W2921215196 hasConceptScore W2921215196C526805850 @default.
• W2921215196 hasConceptScore W2921215196C71924100 @default.
• W2921215196 hasLocation W29212151961 @default.
• W2921215196 hasOpenAccess W2921215196 @default.
• W2921215196 hasPrimaryLocation W29212151961 @default.
• W2921215196 hasRelatedWork W2096612642 @default.
• W2921215196 hasRelatedWork W2411722015 @default.
• W2921215196 hasRelatedWork W2463255179 @default.
• W2921215196 hasRelatedWork W2992720037 @default.
• W2921215196 hasRelatedWork W3016237545 @default.
• W2921215196 hasRelatedWork W3028976792 @default.
• W2921215196 hasRelatedWork W4220835689 @default.
• W2921215196 hasRelatedWork W4283265009 @default.
• W2921215196 hasRelatedWork W4290859843 @default.
• W2921215196 hasRelatedWork W1968275116 @default.
• W2921215196 hasVolume "105" @default.
• W2921215196 isParatext "false" @default.
• W2921215196 isRetracted "false" @default.
• W2921215196 magId "2921215196" @default.
• W2921215196 workType "article" @default.