Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation
The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging...
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Wiley
2017-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2017/4159108 |
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author | Patrick Nguyen Bonnie Davis Daniel D. Tran |
author_facet | Patrick Nguyen Bonnie Davis Daniel D. Tran |
author_sort | Patrick Nguyen |
collection | DOAJ |
description | The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome. Therefore, prompt and swift diagnosis is critical to avoid this potential harmful scenario. Traditionally, repair is performed through a laparotomy or a thoracotomy incision. Owing to the many advances made in minimally invasive surgery, not only has laparoscopy become the modality of choice to diagnose diaphragmatic rupture due to its high degree of sensitivity and specificity, but it can provide simultaneous therapeutic intervention as well. We report a case of laparoscopic repair of a diaphragmatic rupture in a 22-year-old female who sustained blunt abdominal trauma during a motor vehicle accident. |
format | Article |
id | doaj-art-dfbc7e6e082c4eea8698c5a77d04dd70 |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
spelling | doaj-art-dfbc7e6e082c4eea8698c5a77d04dd702025-02-03T01:02:55ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/41591084159108Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical CorrelationPatrick Nguyen0Bonnie Davis1Daniel D. Tran2Howard University College of Medicine, Washington, DC 20059, USADepartment of Radiology, Howard University Hospital, Washington, DC 20060, USADepartment of Surgery, Howard University Hospital, Washington, DC 20060, USAThe leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome. Therefore, prompt and swift diagnosis is critical to avoid this potential harmful scenario. Traditionally, repair is performed through a laparotomy or a thoracotomy incision. Owing to the many advances made in minimally invasive surgery, not only has laparoscopy become the modality of choice to diagnose diaphragmatic rupture due to its high degree of sensitivity and specificity, but it can provide simultaneous therapeutic intervention as well. We report a case of laparoscopic repair of a diaphragmatic rupture in a 22-year-old female who sustained blunt abdominal trauma during a motor vehicle accident.http://dx.doi.org/10.1155/2017/4159108 |
spellingShingle | Patrick Nguyen Bonnie Davis Daniel D. Tran Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation Case Reports in Surgery |
title | Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation |
title_full | Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation |
title_fullStr | Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation |
title_full_unstemmed | Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation |
title_short | Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation |
title_sort | laparoscopic repair of diaphragmatic rupture a case report with radiological and surgical correlation |
url | http://dx.doi.org/10.1155/2017/4159108 |
work_keys_str_mv | AT patricknguyen laparoscopicrepairofdiaphragmaticruptureacasereportwithradiologicalandsurgicalcorrelation AT bonniedavis laparoscopicrepairofdiaphragmaticruptureacasereportwithradiologicalandsurgicalcorrelation AT danieldtran laparoscopicrepairofdiaphragmaticruptureacasereportwithradiologicalandsurgicalcorrelation |