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Double traumatic diaphragmatic injury: A case report

INTRODUCTION: Traumatic diaphragmatic injuries are rare complications resulting from a thoracic-abdominal blunt or penetrating trauma. Left-sided diaphragmatic injuries are more commonly reported in literature. Bilateral injuries are extremely rare, occurring in about 3% of the patients and just few...

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Autores principales: Iadicola, Dario, Branca, Massimo, Lupo, Massimo, Grutta, Eugenia Maria, Mandalà, Stefano, Cocorullo, Gianfranco, Mirabella, Antonino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664163/
https://www.ncbi.nlm.nih.gov/pubmed/31352318
http://dx.doi.org/10.1016/j.ijscr.2019.07.030
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author Iadicola, Dario
Branca, Massimo
Lupo, Massimo
Grutta, Eugenia Maria
Mandalà, Stefano
Cocorullo, Gianfranco
Mirabella, Antonino
author_facet Iadicola, Dario
Branca, Massimo
Lupo, Massimo
Grutta, Eugenia Maria
Mandalà, Stefano
Cocorullo, Gianfranco
Mirabella, Antonino
author_sort Iadicola, Dario
collection PubMed
description INTRODUCTION: Traumatic diaphragmatic injuries are rare complications resulting from a thoracic-abdominal blunt or penetrating trauma. Left-sided diaphragmatic injuries are more commonly reported in literature. Bilateral injuries are extremely rare, occurring in about 3% of the patients and just few cases reported in literature. Traumatic diaphragmatic hernias are definitely a marker of a severe trauma, in fact diaphragmatic injuries are often related to thoracic and abdominal organs injuries. Sometimes the classic clinical signs and symptoms of diaphragmatic injuries may initially not be present so that definitive evaluation is delayed or even missed. CASE REPORT: A 62-years old woman was admitted in Emergency Department after a pedestrian accident. A whole-body CT scan showed multiple fractures (ribs, pelvic and vertebral) but no organ injury. The next CT detected a left-sided posterior diaphragmatic hernia involving transverse colon. Thus we performed an explorative laparoscopy and found a double diaphragmatic injury. A primary repair with non-absorbable sutures and a prosthetic titanized patch was performed.
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spelling pubmed-66641632019-08-05 Double traumatic diaphragmatic injury: A case report Iadicola, Dario Branca, Massimo Lupo, Massimo Grutta, Eugenia Maria Mandalà, Stefano Cocorullo, Gianfranco Mirabella, Antonino Int J Surg Case Rep Article INTRODUCTION: Traumatic diaphragmatic injuries are rare complications resulting from a thoracic-abdominal blunt or penetrating trauma. Left-sided diaphragmatic injuries are more commonly reported in literature. Bilateral injuries are extremely rare, occurring in about 3% of the patients and just few cases reported in literature. Traumatic diaphragmatic hernias are definitely a marker of a severe trauma, in fact diaphragmatic injuries are often related to thoracic and abdominal organs injuries. Sometimes the classic clinical signs and symptoms of diaphragmatic injuries may initially not be present so that definitive evaluation is delayed or even missed. CASE REPORT: A 62-years old woman was admitted in Emergency Department after a pedestrian accident. A whole-body CT scan showed multiple fractures (ribs, pelvic and vertebral) but no organ injury. The next CT detected a left-sided posterior diaphragmatic hernia involving transverse colon. Thus we performed an explorative laparoscopy and found a double diaphragmatic injury. A primary repair with non-absorbable sutures and a prosthetic titanized patch was performed. Elsevier 2019-07-19 /pmc/articles/PMC6664163/ /pubmed/31352318 http://dx.doi.org/10.1016/j.ijscr.2019.07.030 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iadicola, Dario
Branca, Massimo
Lupo, Massimo
Grutta, Eugenia Maria
Mandalà, Stefano
Cocorullo, Gianfranco
Mirabella, Antonino
Double traumatic diaphragmatic injury: A case report
title Double traumatic diaphragmatic injury: A case report
title_full Double traumatic diaphragmatic injury: A case report
title_fullStr Double traumatic diaphragmatic injury: A case report
title_full_unstemmed Double traumatic diaphragmatic injury: A case report
title_short Double traumatic diaphragmatic injury: A case report
title_sort double traumatic diaphragmatic injury: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664163/
https://www.ncbi.nlm.nih.gov/pubmed/31352318
http://dx.doi.org/10.1016/j.ijscr.2019.07.030
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