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Spleen in the thorax: A case report on traumatic diaphragmatic rupture

INTRODUCTION: Most of the cases of diaphragmatic rupture occur following abdominal trauma and herniation of abdominal organs into the thorax can occur. PRESENTATION OF CASE: Twenty three years old male presented after a blunt abdominal trauma following a road traffic accident. Investigations reveale...

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Autores principales: Dahal, S., Koju, R., Shrestha, B., Karki, T., Bade, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7708859/
https://www.ncbi.nlm.nih.gov/pubmed/33395869
http://dx.doi.org/10.1016/j.ijscr.2020.11.018
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author Dahal, S.
Koju, R.
Shrestha, B.
Karki, T.
Bade, S.
author_facet Dahal, S.
Koju, R.
Shrestha, B.
Karki, T.
Bade, S.
author_sort Dahal, S.
collection PubMed
description INTRODUCTION: Most of the cases of diaphragmatic rupture occur following abdominal trauma and herniation of abdominal organs into the thorax can occur. PRESENTATION OF CASE: Twenty three years old male presented after a blunt abdominal trauma following a road traffic accident. Investigations revealed a left sided diaphragmatic rupture with herniation of spleen and stomach into the left hemithorax. Surgical repair of the defect was done and splenectomy had to be done due to extensive splenic laceration. Two third of the spleen was found in the left hemithorax. DISCUSSION: Diagnosis of diaphragmatic rupture can be missed in cases of polytrauma. High clinical suspicion with aids from imaging modalities help in the diagnosis. In suspicion of herniation of abdominal contents into the thorax, one should be careful in insertion of chest tube in view of damaging the herniated organs. Treatment is surgical repair and reduction of herniated contents. CONCLUSION: Although a rare entity, diaphragmatic rupture can occur in cases of abdominal trauma. High clinical suspicion with imaging helps in the diagnosis.
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spelling pubmed-77088592020-12-09 Spleen in the thorax: A case report on traumatic diaphragmatic rupture Dahal, S. Koju, R. Shrestha, B. Karki, T. Bade, S. Int J Surg Case Rep Case Report INTRODUCTION: Most of the cases of diaphragmatic rupture occur following abdominal trauma and herniation of abdominal organs into the thorax can occur. PRESENTATION OF CASE: Twenty three years old male presented after a blunt abdominal trauma following a road traffic accident. Investigations revealed a left sided diaphragmatic rupture with herniation of spleen and stomach into the left hemithorax. Surgical repair of the defect was done and splenectomy had to be done due to extensive splenic laceration. Two third of the spleen was found in the left hemithorax. DISCUSSION: Diagnosis of diaphragmatic rupture can be missed in cases of polytrauma. High clinical suspicion with aids from imaging modalities help in the diagnosis. In suspicion of herniation of abdominal contents into the thorax, one should be careful in insertion of chest tube in view of damaging the herniated organs. Treatment is surgical repair and reduction of herniated contents. CONCLUSION: Although a rare entity, diaphragmatic rupture can occur in cases of abdominal trauma. High clinical suspicion with imaging helps in the diagnosis. Elsevier 2020-11-24 /pmc/articles/PMC7708859/ /pubmed/33395869 http://dx.doi.org/10.1016/j.ijscr.2020.11.018 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Dahal, S.
Koju, R.
Shrestha, B.
Karki, T.
Bade, S.
Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title_full Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title_fullStr Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title_full_unstemmed Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title_short Spleen in the thorax: A case report on traumatic diaphragmatic rupture
title_sort spleen in the thorax: a case report on traumatic diaphragmatic rupture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7708859/
https://www.ncbi.nlm.nih.gov/pubmed/33395869
http://dx.doi.org/10.1016/j.ijscr.2020.11.018
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