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Walter D. Schwindt, MD; Joseph W. Gale, MD

AMA Arch Surg. 1967;94(3):330-334.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AS EARLY as 1579 Ambrose Paré described some of the symptoms of traumatic diaphragmatic hernia, which is translated as follows.

"When the Diaphragma or Midriff is wounded, the party affected is troubled with a weight or heaviness in that place, he is taken with a Delirium, or Raving, by reason of the sympathy of the Nerves of sixth conjugation which are spread over the Midriff; difficulty of breathing, a cough and sharp pain troubles the Patient, the Guts are drawn upwards; so that it sometimes happens by the vehemency of breathing, that the Stomach and Guts are drawn through the wound into the capacity of the Chest, which thing I observed in two."¹

The first antemortem diagnosis of a traumatic hernia was not made until 1853; and in 1886 the first successful repair of this defect was accomplished.^2,3

The diaphragmatic rupture resulting from either blunt or penetrating trauma . . . [Full Text PDF of this Article]

Author Affiliations
Madison, Wis

From the Department of Surgery, University of Wisconsin Medical School, Madison.

Footnotes
Submitted for publication Nov 14, 1966.

Reprint requests to Department of Surgery, University of Wisconsin Medical Center, 1300 University Ave, Madison, Wis 53706 (Dr. Schwindt).

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