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November 1961

Incarcerated Traumatic Diaphragmatic Hernia: Report of a Case with Obstruction of Splenic Flexure of Colon

Author Affiliations

From the Surgical Service, U.S. Veterans Hospital, Perry Point, Md.

Arch Surg. 1961;83(5):650-651. doi:10.1001/archsurg.1961.01300170006002

Traumatic diaphragmatic hernia complicated by incarceration with obstruction of the colon is an uncommon but not a rare occurrence. A 10-year asymptomatic interval between time of injury and this complication occurs infrequently enough to justify this case report. Probert1 reported a case in which this interval was as long as 33½ years.

Report of a Case  A 39-year-old Negro man was admitted to the Surgical Service of the Perry Point Veterans Administration Hospital on March 18, 1959, with the chief complaint of abdominal pain and vomiting. The patient had been in his usual good health until 2 days ago when he had a sudden onset of intermittent lower abdominal cramps which became progressively worse. He had vomited greenish material on 2 occasions each day prior to admission and on 4 occasions on the day of admission. He had had no bowel movements for 3 days. His appetite had been