Anurag Kumar; Majid Anwer; Anil Kumar; Deepak Kumar; Ankit Ankit; Abdul Vakil Khan
Articles in Press, Accepted Manuscript, Available Online from 09 November 2025
Abstract
Objective:Diaphragmatic eventration (DE) is a rare condition that can mimic traumatic diaphragmatic hernia, particularly in trauma cases. We report a case of DE initially misdiagnosed as diaphragmatic hernia following a road traffic accident, emphasizing diagnostic challenges and surgical management.Case ...
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Objective:Diaphragmatic eventration (DE) is a rare condition that can mimic traumatic diaphragmatic hernia, particularly in trauma cases. We report a case of DE initially misdiagnosed as diaphragmatic hernia following a road traffic accident, emphasizing diagnostic challenges and surgical management.Case Presentation:A 50-year-old male presented after a road traffic accident with chest discomfort and decreased air entry on the left side. Chest X-ray showed left para-cardiac opacity, and contrast-enhanced CT (CECT) thorax suggested a central diaphragmatic defect with herniation of the transverse colon and mesocolon. Exploratory laparotomy revealed no diaphragmatic rupture but a central eventration measuring 10×5×7 cm containing bowel loops. The contents were reduced, and diaphragmatic plication with non-absorbable polypropylene sutures was performed. Postoperative recovery was uneventful, and the patient was discharged on day eight. At follow-up, he remained asymptomatic.Discussion:DE, described as early as 1774, results from diaphragmatic muscle being replaced by fibroelastic tissue. Differentiating DE from hernia is difficult in trauma, as both may present with reduced breath sounds and abnormal radiographic findings. Even advanced imaging such as CECT may not reliably distinguish them. In this case, chest trauma history and imaging favored hernia, but surgery confirmed DE. Plication is the standard treatment for symptomatic DE, restoring diaphragm function and preventing visceral herniation.Conclusion:This case underscores the importance of considering DE in trauma patients. Surgical exploration remains vital for definitive diagnosis, and plication offers effective, durable management.
Anurag Kumar; Khan Abdul Vakil; Anil KUMAR; Majid Anwer; Sanjay Kumar; Deepak Kumar; Rekha Kumari
Volume 13, Issue 2 , April 2025, , Pages 115-122
Abstract
Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, ...
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Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, including those presenting with cutthroat injuries in emergency departments. This study reported two distinct cases of suicidal cutthroat injuries, both involving young individuals who were unemployed during the pandemic and suffered from underlying psychiatric disorders. Both patients presented with severe neck injuries, requiring immediate and complex intervention. Their conditions were further complicated by the psychological trauma associated with their mental health disorders. The management of these cases required a multidisciplinary approach, involving emergency medical care, surgical intervention, and psychiatric support. Both patients received prompt attention and stabilization, followed by psychological counseling and long-term psychiatric care. Their recovery was closely monitored, with a focus on addressing the root causes of their distress. These cases highlighted the increasing incidence of suicidal cutthroat injuries during the COVID-19 pandemic and emphasized the need for a comprehensive, multidisciplinary approach to managing both the physical and psychological aspects of such critical situations. This report underscored greater attention to mental health, particularly among the unemployed youth during crises.
