Abstract
An 78 year old woman with Chronic Obstructive Pulmonary Disease (COPD) post tobacco (30 packs annualy) and Cardiac Arrhythmia was admitted to our hospital. It was noted a medical history of laparotomy sub costal for for cholecystectomy 20 years ago. She present with worsening of respiratory symptoms such as dyspnoea of rest for more than one week. Physical examination showed the patient was afebrile with acute respiratory distress (oxygen saturation at 87%) associated with confusion (Glasgow score : 10) and a high blood pressure situation (200/100 mm Hg) accompagnied by tachycardia (heart rate approximately 125 BPM) and abdominal distension comes with vomiting alimentary. Laboratory investigations indicated : respiratory acidosis (pH: 7.07) with hypercapnia at 91 mm Hg, a PaO2 at 135 mm Hg and alcaline reserve at 36 mmol/l. The rest of biological examinations did not show any other specific abnormalities.
Citation
Razafimanjato NNM, Ravoatrarilandy M, Hunald FA, Rakotovao HJL and Castier Y. Strangulated Right Diaphragmatic Hernia: A Diagnostic Trap to Avoid. SM J Clin. Med. Imaging. 2017; 3(2): 1015.