Delayed Presentation of Diaphragmatic Rupture: An Unusual Case of Dyspnea

Ampatzidou, Fotini; Koutsogiannidis, Charilaos-Panagiotis; Madesis, Athanasios; Sileli, Maria; Drossos, George

doi:10.4187/respcare.03286

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…The mechanism of injury in diaphragmatic ruptures remains undetermined; however, several theoretical causes have been investigated [ 4 ]. Surgical repair via laparoscopic and thoracoscopic approaches have been increasingly utilized; however, an open abdominal approach remains the mainstay for operative repair [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Contralateral diaphragmatic injury sustained from transhumeral amputation: an unusual case and brief literature review

Marcucci

Campbell

Ihionkhan

et al. 2022

Journal of Surgical Case Reports

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Right-sided diaphragmatic injury is an uncommon sequelae from blunt trauma and may be associated with other severe thoracoabdominal injuries. This injury can be easily missed on initial assessment and a high index of suspicion and clinical judgment is required. Recently, we treated a 25-year-old male inflicted with a right-sided diaphragmatic injury after a left-sided transhumeral amputation sustained from an overturned motor vehicle collision with thoracoscopic exploration and reapproximation.

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Section: Introductionmentioning

confidence: 99%

Contralateral diaphragmatic injury sustained from transhumeral amputation: an unusual case and brief literature review

Marcucci

Campbell

Ihionkhan

et al. 2022

Journal of Surgical Case Reports

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“…Dark-brown-colored ascitic fluid, hydrothorax, and yellowish hydropericardium were also observed. The cause of death was determined to be diaphragmatic rupture caused by a rib fracture, which led to respiratory imbalance and circulatory disorders.Keywords: Cervus nippon, diaphragmatic rupture, herniation, rib fractures, sika deer Diaphragmatic injuries are rare in both humans and animals and can be sequelae of penetrating or blunt traumas [2,14]. These injuries are induced by an increase in abdominal pressure that may cause diaphragmatic tear and visceral herniation [10].…”

mentioning

confidence: 99%

Sudden death caused by diaphragmatic rupture following rib fracture in a female sika deer (Cervus nippon) at a zoo

Kim¹,

Lee²,

Kwak³

2016

Korean Journal of Veterinary Research

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Delayed presentation of traumatic diaphragmatic rupture with tension colothorax and strangulation of the transverse colon

et al. 2020

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A 26-year-old man presented to emergency department with respiratory distress. The initial diagnosis after chest X-ray was massive haemothorax, after insertion of a chest drain and further investigations, it turned up to be a rare case of a delay presentation of traumatic diaphragmatic rupture (DR) (after 1 year of the initial trauma). After excessive resuscitation of the patient in the emergency department, the patient underwent an emergency laparotomy which revealed ischaemic transverse colon herniated into the chest through a 7 cm diaphragmatic defect. Resection of the ischaemic bowel had been done, and the patient admitted to Intensive Therapy Unit (ITU) postoperatively. The patient had an uneventful recovery and discharged home on postoperative day 9. As DR after thoracoabdominal trauma is a rare condition that can be missed at initial presentation, we would like to highlight the main challenges in diagnosing and managing similar cases after reviewing related cases in the literature.

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Delayed Presentation of Diaphragmatic Rupture: An Unusual Case of Dyspnea

Cited by 3 publications

References 15 publications

Contralateral diaphragmatic injury sustained from transhumeral amputation: an unusual case and brief literature review

Contralateral diaphragmatic injury sustained from transhumeral amputation: an unusual case and brief literature review

Sudden death caused by diaphragmatic rupture following rib fracture in a female sika deer (Cervus nippon) at a zoo

Delayed presentation of traumatic diaphragmatic rupture with tension colothorax and strangulation of the transverse colon

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