Syndrome occlusif chez une femme enceinte révélant une hernie diaphragmatique post-traumatique méconnue

Dessolle, Lionel; Vibert, Éric; Bernabé, Carmen María Marín; Chitrit, Yvon; Saint‐Leger, S.

doi:10.1016/s0368-2315(04)96552-0

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Dans 90% des cas, ces RD sont consécutives à des accidents de la circulation [4,5,7]. Atoini et coll.…”

Section: Discussionunclassified

“…Sur le plan anatomopathologique, la rupture concerne la coupole diaphragmatique gauche dans 70 à 90 % des cas, compte tenu du rôle protecteur du foie à droite [3,4,7]. En outre, les ruptures droites sont souvent associées à des lésions vitales (foie, veines sus-hépatiques, veine cave inférieure), aboutissant au décès avant l'arrivée du blessé à l'hôpital [2].…”

Section: Discussionunclassified

“…En outre, les ruptures droites sont souvent associées à des lésions vitales (foie, veines sus-hépatiques, veine cave inférieure), aboutissant au décès avant l'arrivée du blessé à l'hôpital [2]. Dans la série de notre service, nous avons une nette prédominance de l'atteinte diaphragmatique gauche avec [6,7] . Elle a une sensibilité de 50 à 90 % et une spécificité de 90 à 100 % [11,12].…”

Section: Discussionunclassified

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Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali

MAIGA

2023

JAFRCHIR

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Introduction: traumatic rupture of the diaphragm corresponds to a traumatic breach of the diaphragm which can be complicated by an intrathoracic herniation of the abdominal viscera. Objective: describe the diagnostic and therapeutic aspects of diaphragmatic ruptures. Patients and Method: We conducted a retrospective and descriptive study from March 2012 to September 2020, carried out in the thoracic surgery department at the Mali Hospital. Patients with traumatic rupture of the diaphragm were included. The diagnostic, therapeutic and evolutionary aspects were analyzed. Results: we collected thirteen (13) cases with an average age of 28.8 years with an extreme of 3 and 59 years. There were 10 men and 3 women. The etiology was road accidents in 6 cases. CT made it possible to make the diagnosis in 10 patients. A thoracotomy was performed in 12 patients. The most frequent herniated organs were the stomach in 11 cases and the colon in 6 cases. The average size of the rupture was 7.3 cm and was located at the level of the muscular body in 8 cases. Associated lesions were found in 9 cases. Treatment consisted of reduction of the herniated organs, suture of the breach and repair of associated lesions. The evolution was favorable in 12 cases. A case of death was recorded. Conclusion: Diaphragmatic rupture is an uncommon lesion which most often reflects serious trauma whose prognosis depends on the associated lesions. The thoracic route is an interesting alternative for the treatment of diaphragmatic lesions

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“…Dans 90% des cas, ces RD sont consécutives à des accidents de la circulation [4,5,7]. Atoini et coll.…”

Section: Discussionunclassified

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Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali

MAIGA

2023

JAFRCHIR

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“…Once the injury diagnosed, immediate treatment, requiring surgery, is indicated. Only few case reports of diaphragmatic hernias during the peri-partum period are documented [2][3][4][5][6][7][8]. A review of the literature, conducted 2006 by Eglinton et al [5], compiled a modest number of 37 cases.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress

Descloux¹

2013

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Introduction: Diaphragmatic hernias occurring during pregnancy or during labor are very rare. This kind of injury or complication is mostly diagnosed with delay. Case report: A 30-year-old, primigravida woman presented an acute respiratory distress three weeks after childbirth by emergency caesarian section. The past history was uneventful till a car crash three years ago with whiplash injury without blunt abdominal trauma. The diagnostic of the dyspnea was assured by thorax CT scan. Symptoms of gastrointestinal obstruction were not recorded. An emergency thoracotomy was performed. The incarcerated gastric fundus had to be resected. The central diaphragmatic hernia could be closed by sutures. An abdominal approach was not necessary. The postoperative follow-up was uncomplicated. Discussion and Conclusion: Incarceration of abdominal viscera by diaphragmatic hernia is an uncommon cause of pleural empyema. Her happening during pregnancy or during the peri-partum period is increasingly rarely and represents a life-threatening event for the pregnant woman and her fetus. Early diagnosis and surgery in an emergency setting are required. Diagnose and treatment of diaphragmatic hernias in women in child-bearing age should happen before pregnancy in matter to avoid potential lethal complications for the expectant mother as well as for the fetus.

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A late post-traumatic diaphragmatic hernia revealed during pregnancy by post-partum respiratory distress

Jai

Bensardi

Hizaz

et al. 2007

Arch Gynecol Obstet

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Syndrome occlusif chez une femme enceinte révélant une hernie diaphragmatique post-traumatique méconnue

Cited by 4 publications

References 6 publications

Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali

Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali

Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress

A late post-traumatic diaphragmatic hernia revealed during pregnancy by post-partum respiratory distress

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