Delayed post-traumatic diaphragmatic rupture complicated by total hepato-thorax: A case report

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• 作者：Miltiades Kastanakis^a ; Dimitrios Anyfantakis^b ; ^{danyfantakis@med.uoc.gr} ; Ioannis Kokkinos^a ; George Petrakis^a ; Emmanouil Bobolakis^a
• 关键词：Diaphragmatic rupture ; Hepatothorax ; Diagnosis ; Management
• 刊名：International Journal of Surgery Case Reports
• 出版年：2013
• 出版时间：2013
• 年：2013
• 卷：4
• 期：6
• 页码：537-539
• 全文大小：964 K

文摘

INTRODUCTION

Intra-thoracic herniation of abdominal organs following diaphragmatic rupture represents an unusual clinical occurrence that poses great diagnostic difficulty.

PRESENTATION OF CASE

We report a rare case of delayed total hepatothorax caused by a right sided post-traumatic diaphragmatic rupture in a 67 year old male. Reduction of the liver in the abdominal cavity and repair of the diaphragm was feasible via a thoraco-abdominal approach. Postoperative chest radiography showed normal position of the right diaphragmatic border.

DISCUSSION

Characteristics of right diaphragmatic rupture and subsequent complications are reviewed with the aim to reinforce physicians¡¯ awareness of this uncommon clinical condition in order to establish a timely diagnosis and reduce the mortality related burden.

CONCLUSION

Surgeons should consider this entity in the differential diagnosis of injured patients experiencing sudden respiratory distress during hospitalization as well as days or months after discharge.