Traumatic diaphragmatic rupture successfully managed in 4-year-old patient: Case report and literature review

Elkbuli, Adel; Meneses, Evander; Shepherd, Aaron; McKenney, Mark; Boneva, Dessy

doi:10.1016/j.ijscr.2020.06.026

Cited by 12 publications

(10 citation statements)

References 22 publications

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“…The CT signs of diaphragmatic injury include direct visualization of injury with free edge of the disrupted diaphragm, intrathoracic herniation of visceral content, collar sign i.e focal constriction of the bowel or omentum, dependent viscera sign, intramuscular hematoma and peridiaphragmatic active contrast extravasation [ 11 ]. Overall, multi-detector CT scan has a sensitivity of 78% for left sided diaphragmatic injuries with specificity of 100% [ 12 ]. In addition to the typical findings, our case also had presence of spleen in the left thorax as a visceral content.…”

Section: Discussionmentioning

confidence: 99%

Spleen in the thorax: A case report on traumatic diaphragmatic rupture

Dahal

Koju

Shrestha

et al. 2020

International Journal of Surgery Case Reports

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Highlights Diaphragmatic rupture is a rare complication of abdominal trauma. Herniation of abdominal contents can occur following diaphragmatic rupture. Spleen was present in the thorax in a case following blunt abdominal trauma. Care should be taken when inserting a chest tube in suspected cases. Treatment is surgical via Laparotomy or Thoracotomy.

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Section: Discussionmentioning

confidence: 99%

Spleen in the thorax: A case report on traumatic diaphragmatic rupture

Dahal

Koju

Shrestha

et al. 2020

International Journal of Surgery Case Reports

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“…Currently, chest injuries account for 25% of trauma-related deaths worldwide and account for close to 10% of all trauma hospital admissions [ 4 ]. The most frequent thoracic trauma injuries, however, are pneumothorax and hemothorax, which are permanently treated in 80% of cases with tube thoracostomy.…”

Section: Discussionmentioning

confidence: 99%

Successful open surgery repair of isolated right diaphragmatic rupture in 1-year-old patient at Muhimbili National Hospital: a case report and literature review

Brighton,

Kyaruzi,

Nhungo

et al. 2023

Journal of Surgical Case Reports

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Diaphragmatic ruptures rarely occur in isolation, a pathology in paediatric that is difficult to diagnose and can lead to serious complications if left untreated. We present a rare case of isolated right diaphragmatic rupture with liver herniation that was successfully repaired, along with a literature review. A 1-year-old female child was admitted at Emergency Department after being involved in a motor traffic crash as a passenger. Based on clinical presentation and radiological findings, we diagnosed a diaphragmatic rapture, laparotomy was performed in which we found a right isolated diaphragmatic rupture, which was repaired primarily. After re-evaluations, the patient was discharged day 16 postoperative. It is essentially important to evaluate the level of organ damage thoroughly for making a timely informed decision in management paediatric chest trauma.

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“…These findings collectively indicate a diaphragmatic injury [ 11 ]. Furthermore, multi-detector CT scans have demonstrated a sensitivity of 78% and specificity of 100% in identifying left-sided diaphragmatic injuries [ 12 ]. Although MRI may have a role in diagnosing such cases, no substantial studies have examined its accuracy thus far.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Diaphragmatic Rupture

Younis,

Abdelmageed,

Aljohani

et al. 2023

Cureus

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Representing less than 1% of all traumatic injuries, diaphragmatic injuries are uncommon and are usually associated with injuries in other thoracic and abdominal organs.We report a case of a diaphragmatic injury in a 38-year-old man who presented to the Emergency Department due to a pedestrian-vehicle accident. He had a massive hemothorax on the left due to a ruptured spleen. An exploratory laparotomy was done to manage the bleeding, restore the diaphragmatic hernia contents in their right anatomical position, conduct a splenectomy, and repair the diaphragmatic defect.Although the majority of diaphragmatic ruptures are diagnosed acutely, late presentations are usually reported in blunt trauma; therefore, a high clinical suspicion with imaging is essential for the diagnosis.

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Traumatic diaphragmatic rupture successfully managed in 4-year-old patient: Case report and literature review

Cited by 12 publications

References 22 publications

Spleen in the thorax: A case report on traumatic diaphragmatic rupture

Spleen in the thorax: A case report on traumatic diaphragmatic rupture

Successful open surgery repair of isolated right diaphragmatic rupture in 1-year-old patient at Muhimbili National Hospital: a case report and literature review

An Unusual Presentation of Diaphragmatic Rupture

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