A rare case of compression atelectasis due to spontaneous diaphragmatic hernia: a case report

Main Article Content

Fachreza Damara

Abstract

Type IV diaphragmatic hernia is a rare case which has various clinical manifestations. The clinical manifestations as a result of protruded organ towards thoracic cavity in diaphragmatic hernia are varied from gastrointestinal symptoms such as epigastric pain, dysphagia and acid reflux. However, in a rare occasion, dyspnea may present as a result of compression atelectasis due to excessive increased in intrathoracic pressure. Here, we report a 57-year-old male patient who had spontaneous diaphragmatic hernia admitted with dyspnea as a chief complaint. This report might add another perspective to the physicians in facing the patient with atelectasis as the result of a high level of lung compression secondary to type IV diaphragmatic hernia.

Article Details

How to Cite
Damara, F. (2021) “A rare case of compression atelectasis due to spontaneous diaphragmatic hernia: a case report”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia, 9(1). doi: 10.52629/jamsa.v9i1.203.
Section
Case Report

References

1. Lebenthal A, Waterford SD, Fisichella PM. Treatment and Controversies in Paraesophageal Hernia Repair. Front Surg. 2015;2(April):1–6.
2. Choi S, Tang A, Murthy S, Raja S. Preoperative Evaluation and Clinical Decision Making for Giant Paraesophageal Hernias: Who Gets an Operation? Thorac Surg Clin. 2019;29(4):415–9.
3. St-Arnaud C, Bouchard N, Lanthier L. Lung Atelectasis Secondary to Massive Esophageal Dilation in a Patient with Scleroderma. Can Respir J. 2010;17(4):e96–8.
4. Sahin C, Akın F, Cullu N, Özseker B, Kirli İ, Altun İ. A Large Intra-Abdominal Hiatal Hernia as a Rare Cause of Dyspnea. Case Reports Cardiol. 2015;2015(Figure 1):1–4.
5. Liang CY, Lin MS. Achalasia. N Engl J Med. 2009 Feb 19;360(8):801.
6. Yu HX, Han CS, Xue JR, Han ZF, Xin H. Esophageal hiatal hernia: risk, diagnosis and management. Vol. 12, Expert Review of Gastroenterology and Hepatology. Taylor and Francis Ltd; 2018. p. 319–29.
7. Peroni DG, Boner AL. Atelectasis: mechanisms, diagnosis and management. Paediatr Respir Rev. 2000;1(3):274–8.
8. Hubmayr RD. Perspective on lung injury and recruitment: A skeptical look at the opening and collapse story. Am J Respir Crit Care Med. 2002;165(12):1647–53.