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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Main Authors: Patrick Nguyen, Bonnie Davis, Daniel D. Tran
Format: Article
Language:English
Published: Wiley 2017-01-01
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.
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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
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AT bonniedavis laparoscopicrepairofdiaphragmaticruptureacasereportwithradiologicalandsurgicalcorrelation
AT danieldtran laparoscopicrepairofdiaphragmaticruptureacasereportwithradiologicalandsurgicalcorrelation