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Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
Background: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma. Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671305/ https://www.ncbi.nlm.nih.gov/pubmed/34926569 http://dx.doi.org/10.3389/fsurg.2021.772913 |
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author | Pace, Marco Vallati, Damiano Belloni, Elena Cavallini, Marco Ibrahim, Mohsen Rendina, Erino Angelo Nigri, Giuseppe |
author_facet | Pace, Marco Vallati, Damiano Belloni, Elena Cavallini, Marco Ibrahim, Mohsen Rendina, Erino Angelo Nigri, Giuseppe |
author_sort | Pace, Marco |
collection | PubMed |
description | Background: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma. Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest and abdominal contrast-enhanced computed tomography (CT) scan, the patient underwent emergency suturing of the left hemidiaphragm. On postoperative day (POD) 4, a CT scan performed due to the sudden onset of dyspnea revealed rupture of the right hemidiaphragm, which was not detected on the preoperative CT scan. On POD 9, the right hemidiaphragm was repaired with mesh during a right thoracotomy. The patient recovered 14 days after surgery. However, the postoperative course was complicated by an asymptomatic COVID-19 infection that significantly delayed her discharge from the hospital. Conclusions: Difficulties in preoperative diagnosis and treatment, together with the lack of data in the literature, make this type of trauma a challenge for all acute care and general surgeons. |
format | Online Article Text |
id | pubmed-8671305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86713052021-12-16 Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report Pace, Marco Vallati, Damiano Belloni, Elena Cavallini, Marco Ibrahim, Mohsen Rendina, Erino Angelo Nigri, Giuseppe Front Surg Surgery Background: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma. Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest and abdominal contrast-enhanced computed tomography (CT) scan, the patient underwent emergency suturing of the left hemidiaphragm. On postoperative day (POD) 4, a CT scan performed due to the sudden onset of dyspnea revealed rupture of the right hemidiaphragm, which was not detected on the preoperative CT scan. On POD 9, the right hemidiaphragm was repaired with mesh during a right thoracotomy. The patient recovered 14 days after surgery. However, the postoperative course was complicated by an asymptomatic COVID-19 infection that significantly delayed her discharge from the hospital. Conclusions: Difficulties in preoperative diagnosis and treatment, together with the lack of data in the literature, make this type of trauma a challenge for all acute care and general surgeons. Frontiers Media S.A. 2021-12-01 /pmc/articles/PMC8671305/ /pubmed/34926569 http://dx.doi.org/10.3389/fsurg.2021.772913 Text en Copyright © 2021 Pace, Vallati, Belloni, Cavallini, Ibrahim, Rendina and Nigri. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Pace, Marco Vallati, Damiano Belloni, Elena Cavallini, Marco Ibrahim, Mohsen Rendina, Erino Angelo Nigri, Giuseppe Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title | Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title_full | Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title_fullStr | Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title_full_unstemmed | Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title_short | Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report |
title_sort | blunt trauma associated with bilateral diaphragmatic rupture: a case report |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671305/ https://www.ncbi.nlm.nih.gov/pubmed/34926569 http://dx.doi.org/10.3389/fsurg.2021.772913 |
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