Laparoscopic repair for delayed right-sided traumatic diaphragmatic rupture (with video)

Traumatic diaphragmatic rupture (TDR) is a rare yet life-threatening occurrence that remains a diagnostic challenge for clinicians. Delayed presentation with associated strangulation of the contents, although uncommon, requires emergent management. A 42-year-old woman presented with constant, severe left-sided shoulder and chest pain, as well as associated upper abdominal pain following a self-contained underwater breathing apparatus (SCUBA) dive. A chest radiograph (CXR) and CT showed a left-sided diaphragmatic hernia containing stomach. She subsequently underwent a laparoscopic repair of the diaphragmatic defect and recovered well postoperatively.

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Exercise Therapy for a Patient With Persistent Dyspnea After Combined Traumatic Diaphragmatic Rupture and Phrenic Nerve Injury

PM&R ◽

10.1016/j.pmrj.2014.11.005 ◽

2014 ◽

Vol 7 (2) ◽

pp. 214-217 ◽

Cited By ~ 2

Author(s):

Kyu Yong Han ◽

Heui Je Bang

Keyword(s):

Nerve Injury ◽

Exercise Therapy ◽

Phrenic Nerve ◽

Diaphragmatic Rupture ◽

Phrenic Nerve Injury ◽

Traumatic Diaphragmatic Rupture

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Traumatic diaphragmatic rupture complicated by intercostal tube insertion into the stomach

Surgery ◽

10.1016/j.surg.2010.01.009 ◽

2011 ◽

Vol 150 (3) ◽

pp. 570-571 ◽

Cited By ~ 7

Author(s):

Manisha Jana ◽

Smriti Hari

Keyword(s):

Diaphragmatic Rupture ◽

Tube Insertion ◽

Traumatic Diaphragmatic Rupture

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Post-traumatic diaphragmatic rupture

Medicina Intensiva (English Edition) ◽

10.1016/j.medine.2021.11.013 ◽

2021 ◽

Author(s):

A.N. García Herrera ◽

E. Usón García

Keyword(s):

Diaphragmatic Rupture ◽

Traumatic Diaphragmatic Rupture ◽

Post Traumatic

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Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

Case Reports in Surgery ◽

10.1155/2018/8758021 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Ibrahim Amadou Magagi ◽

Oumarou Habou ◽

Harissou Adamou ◽

Ousseini Adakal ◽

Mahamoud Omid Ali Ada ◽

...

Keyword(s):

Diaphragmatic Rupture ◽

Pleural Drainage ◽

Surgical Department ◽

Computed Tomographic ◽

Traumatic Diaphragmatic Rupture ◽

Abdominal Content ◽

Pedestrian Accident ◽

Computed Tomographic Scan ◽

Diagnostic Difficulties ◽

Thoracic And Abdominal

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage. The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later. At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed. The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms. The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.

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