Publication

Abstract : Traumatic diaphragmatic hernia occurs in ~5% of trauma patients with approximately 75% of ruptures occurring on the left side (1). Chances of gastrointestinal contents herniating into chest and compromising respiratory and circulatory functions are high .Chances of aspiration and bowel strangulation and necrosis leading to sepsis further aggravates the respiratory and circulatory distress. Here we describe anaesthesia management of a case of traumatic left diaphragmatic hernia with herniation of stomach, hepatic flexure of colon and superior part of spleen with significant collapse of left lung who was managed with sequential spinal epidural anaesthesia.