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Article
February 1953

STRANGULATED DIAPHRAGMATIC HERNIAReport of Four Cases

Author Affiliations

LONG BEACH, CALIF.

AMA Arch Surg. 1953;66(2):155-166. doi:10.1001/archsurg.1953.01260030168004
Abstract

WHILE the frequency of strangulation in diaphragmatic hernias is not great, the complication is a fatal one demanding early surgical therapy. All physicians should be aware of this condition and consider it a possibility in any patient with lower thoracic or upper abdominal pain, the etiologic basis of which has not been clearly established.

I wish to present my experience with four cases and in outline form summarize a group of cases1 collected from the literature since the report of Carter and Giuseffi2 in 1948. These authors presented in detail the clinical symptomatology and the physical and x-ray findings in strangulated diaphragmatic hernia, and these findings will be omitted from this presentation.

REPORT OF CASES 

Case 1 (Mrs. L. B., Seaside Hospital).  —This case has been previously reported in detail.3 The patient was a 32-year-old white woman. On Feb. 25, 1949, seven hours after a normal delivery, she began

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