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World J Gastroenterol. Mar 7, 2007; 13(9): 1449-1450
Published online Mar 7, 2007. doi: 10.3748/wjg.v13.i9.1449
Published online Mar 7, 2007. doi: 10.3748/wjg.v13.i9.1449
Strangulated diaphragmatic hernia presenting clinically as pericarditis
Rohit Makhija, Jacob A Akoh, Directorate of Surgery, Derriford Hospital, Plymouth PL6 8DH, United Kingdom
Author contributions: All authors contributed equally to the work.
Correspondence to: Rohit Makhija, Directorate of Surgery, Derriford Hospital, 8 Winston Churchill Drive, King’s Lynn, Norfolk, PE30 4YQ, United Kingdom. rohit100@doctors.net.uk
Telephone: +44-1553-771200
Received: August 15, 2006
Revised: December 1, 2006
Accepted: February 22, 2007
Published online: March 7, 2007
Revised: December 1, 2006
Accepted: February 22, 2007
Published online: March 7, 2007
Abstract
A case of strangulation of the transverse colon in a traumatic left diaphragmatic hernia manifesting as pericarditis is reported. This is unusual because pericardial signs in traumatic diaphragmatic hernia have been previously described in association with direct pericardial injury. This is the only such case where electrocardiographic changes of pericarditis were seen without direct pericardial trauma. The possibility of internal herniation through a traumatic diaphragmatic hernia must be considered in patients with chest symptoms and a compatible history.