Diaphragmatic hérnia after domestic accident: a case report

Abstract

Introduction: Diaphragmatic hernias affect approximately 0.05% of the general population, mainly men from 30 to 45 years old. Clinical presentation is extremely varied (dyspnea, reduced respiratory auscultation and abdominal pain). Objectives: Reporting the case of an elderly patient who presented diaphragmatic hernia after light trauma issues, with atypical manifestations and late diagnosis. In addition, setting out the challenges in the diagnostic confirmation of this pathology, as well as warning about the need of a quick and efficient investigation. Method: Data have been collected by means of medical record review, interview with the patient, photographic record of complementary exams as well as history review. Final considerations: The reported case clarifies the discussion about diaphragmatic hernia as being a low prevalence condition, however, susceptible to major complications, especially when it comes to elderly patients. Even facing minor trauma issues and non-specific signs, such condition should be included in the diagnostic investigation both for early diagnosis, as well as for prevention of complications relating to morbidity and mortality. Besides, it is extremely important to provide this share of the population with information about domestic accidents, as well as making them aware about minor traumas in order to ask for medical assistance as soon as possible.