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Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report
BACKGROUND: Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717597/ https://www.ncbi.nlm.nih.gov/pubmed/26781191 http://dx.doi.org/10.1186/s13256-015-0780-8 |
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author | Siow, Sze Li Wong, Chee Ming Hardin, Mark Sohail, Mushtaq |
author_facet | Siow, Sze Li Wong, Chee Ming Hardin, Mark Sohail, Mushtaq |
author_sort | Siow, Sze Li |
collection | PubMed |
description | BACKGROUND: Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported. CASE PRESENTATION: A 32-year-old Indian man was brought to our emergency department after being involved in a road traffic accident. He described a temporary loss of consciousness and had multiple tender bruises at his right upper anterior abdominal wall and left lumbar region. An initial examination revealed blood pressure of 99/63 mmHg, heart rate of 107 beats/minute, and oxygen saturation of 93 % on room air. His clinical parameters stabilized after initial resuscitation. A computed tomographic scan revealed a rupture of the left diaphragm as well as extensive disruptions of the left upper anterior abdominal wall. We performed exploratory laparoscopic surgery with the intention of primary repair. The diaphragmatic and abdominal wall defect was primarily closed, followed by reinforcement with PROLENE onlay mesh. The patient’s postoperative recovery was complicated by infected hematomas over both flanks that were managed with ultrasound-guided percutaneous drainage. He was discharged well despite a prolonged hospital stay. CONCLUSIONS: We present a complex form of injuries managed successfully via a laparoscopic approach. Meticulous attention to potential complications in both the acute and convalescent phases is important for achieving a successful outcome following surgery. |
format | Online Article Text |
id | pubmed-4717597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47175972016-01-20 Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report Siow, Sze Li Wong, Chee Ming Hardin, Mark Sohail, Mushtaq J Med Case Rep Case Report BACKGROUND: Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported. CASE PRESENTATION: A 32-year-old Indian man was brought to our emergency department after being involved in a road traffic accident. He described a temporary loss of consciousness and had multiple tender bruises at his right upper anterior abdominal wall and left lumbar region. An initial examination revealed blood pressure of 99/63 mmHg, heart rate of 107 beats/minute, and oxygen saturation of 93 % on room air. His clinical parameters stabilized after initial resuscitation. A computed tomographic scan revealed a rupture of the left diaphragm as well as extensive disruptions of the left upper anterior abdominal wall. We performed exploratory laparoscopic surgery with the intention of primary repair. The diaphragmatic and abdominal wall defect was primarily closed, followed by reinforcement with PROLENE onlay mesh. The patient’s postoperative recovery was complicated by infected hematomas over both flanks that were managed with ultrasound-guided percutaneous drainage. He was discharged well despite a prolonged hospital stay. CONCLUSIONS: We present a complex form of injuries managed successfully via a laparoscopic approach. Meticulous attention to potential complications in both the acute and convalescent phases is important for achieving a successful outcome following surgery. BioMed Central 2016-01-18 /pmc/articles/PMC4717597/ /pubmed/26781191 http://dx.doi.org/10.1186/s13256-015-0780-8 Text en © Siow et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Siow, Sze Li Wong, Chee Ming Hardin, Mark Sohail, Mushtaq Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title | Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title_full | Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title_fullStr | Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title_full_unstemmed | Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title_short | Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
title_sort | successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717597/ https://www.ncbi.nlm.nih.gov/pubmed/26781191 http://dx.doi.org/10.1186/s13256-015-0780-8 |
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