Assuntos
Tamponamento Cardíaco/cirurgia , Tratamento de Emergência , Tórax em Funil/cirurgia , Traumatismos Cardíacos/cirurgia , Toracotomia/métodos , Adolescente , Tamponamento Cardíaco/etiologia , Feminino , Traumatismos Cardíacos/etiologia , Humanos , Complicações Intraoperatórias/cirurgia , Resultado do TratamentoRESUMO
Thoraco-abdominal trauma can in rare cases involve diaphragmatic rupture and subsequent herniation of intra-abdominal contents. We report a case of this complication in a 5-year-old boy who was injured in a car crash, and who manifested respiratory distress and hemodynamic instability after 48 h of being monitored in the pediatric intensive care unit. Multiple radiologic investigations were inconclusive and the definite diagnosis was established only on thoracoscopic exploration.
Assuntos
Diafragma/diagnóstico por imagem , Hérnia Diafragmática Traumática/diagnóstico , Herniorrafia/métodos , Toracoscopia/métodos , Pré-Escolar , Diafragma/lesões , Hérnia Diafragmática Traumática/cirurgia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
Congenital sternal cleft is a rare chest wall malformation. Because of the flexibility of the chest in infants, surgical repair should be performed by primary closure in the neonatal period. In adolescents and adults, different techniques have been suggested to overcome the lack of sternal bone tissue. We describe a very rare case of an 18-year-old woman with a complete bifid sternum associated with pectus excavatum for whom a satisfactory cosmetic and functional result was obtained by adequate surgical planning, which entailed a combination of two standardized surgical techniques.
