A laparoscopic approach to left diaphragmatic rupture after blunt trauma.
Acta Chir Belg
; 109(2): 228-31, 2009.
Article
en En
| MEDLINE
| ID: mdl-19499686
ABSTRACT
Diaphragmatic rupture after blunt trauma is rare, but indicates a powerful external impact. Associated lesions are often life-threatening and require a rapid diagnosis and management. We report a case of a 24-year-old man, admitted to the emergency department after a serious car accident. He complained of a left sided thoraco-abdominal pain with breathing difficulties. Chest X-ray showed a left diaphragmatic elevation. Computed tomography demonstrated a left haemo-pneumothorax, herniation of the stomach in the chest and a haemoperitonium. Laparoscopically, herniated organs were re-integrated in the abdominal cavity ; the diaphragmatic tear was repaired by both direct suture and synthetic prosthesis. Closure of a small bowel perforation found during the laparoscopic exploration was also performed. We consider this therapeutic modality to be an excellent approach in the management of acute left side diaphragmatic rupture in haemodynamically stable patients. Firstly, it permits an inspection of the thoracic cavity through the diaphragmatic tear and secondly, an easy repair of damaged structures in the abdominal cavity.
Buscar en Google
Colección:
01-internacional
Asunto principal:
Heridas no Penetrantes
/
Diafragma
/
Laparoscopía
/
Hernia Diafragmática Traumática
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Acta Chir Belg
Año:
2009
Tipo del documento:
Article
País de afiliación:
Bélgica