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Article
July 1, 1911

A CASE OF INCARCERATED AND OBSTRUCTED DIAPHRAGMATIC HERNIA WITH OPERATION AND RECOVERY

Author Affiliations

TERRE HAUTE, IND.

JAMA. 1911;LVII(1):20-21. doi:10.1001/jama.1911.04260070024009
Abstract

While the literature on diaphragmatic hernia is fairly voluminous, there seem to be very few reported cases of operation with recovery; many of the cases were discovered post mortem; in others the patients died following operation. A synopsis follows of those discovered after a fairly extensive search.

CASE 1.  —A patient1 of 23; diagnosis, obstruction of bowels. Operation through median incision above navel; colon found passing through rent in diaphragm; second incision along border of costal arch; colon being firmly attached, hernia could not be reduced; artificial anus made (colostomy). Recovery with subsequent closure of colostomy opening.

CASE 2.  —Male,2 aged 18; signs of obstruction after violent exercise. Incision through rectus in upper abdomen; transverse colon, omentum and greater part of stomach protrude through rent in the diaphragm 3½ inches long; omentum adherent to pleura; thorax then opened by rib resection; hernia reduced; patient's condition too low to

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