E Kara1, Y Kaya, R Zeybek, T Coskun, C Yavuz. 1. Department of General Surgery, School of Medicine, University of Celal Bayar, Manisa, Turkey. eraykara@hotmail.com
Abstract
INTRODUCTION: Diapraghmatic rupture is a clinical case that is mostly seen following a blunt thoracoabdominal trauma or is rarely reported as spontaneously induced by various factors. CLINICAL PICTURE: A 28-year-old man presented as an emergency with shortness of breath and severe abdominal pain following a violent cough. His chest radiography and computed tomography demonstrated left diaphragmatic rupture, mediastinal shift and herniation of gastric fundus into the pleural cavity. TREATMENT: Left thoracotomy for the replacement of herniated gastric fundus and median laparotomy for the repair of serosal layer of gastric fundus and a diaphragmatic gap were performed. OUTCOME: He made an uneventful recovery. CONCLUSIONS: Diaphragmatic ruptures may be caused by violent coughing with serious life-threatening complications.
INTRODUCTION:Diapraghmatic rupture is a clinical case that is mostly seen following a blunt thoracoabdominal trauma or is rarely reported as spontaneously induced by various factors. CLINICAL PICTURE: A 28-year-old man presented as an emergency with shortness of breath and severe abdominal pain following a violent cough. His chest radiography and computed tomography demonstrated left diaphragmatic rupture, mediastinal shift and herniation of gastric fundus into the pleural cavity. TREATMENT: Left thoracotomy for the replacement of herniated gastric fundus and median laparotomy for the repair of serosal layer of gastric fundus and a diaphragmatic gap were performed. OUTCOME: He made an uneventful recovery. CONCLUSIONS: Diaphragmatic ruptures may be caused by violent coughing with serious life-threatening complications.
Authors: Anna Rossetto; Umberto Baccarani; Gian Luigi Adani; Dario Lorenzin; Vittorio Bresadola; Giovanni Terrosu Journal: Updates Surg Date: 2010-12-22
Authors: Mario Testini; Antonia Girardi; Roberta Maria Isernia; Angela De Palma; Giovanni Catalano; Angela Pezzolla; Angela Gurrado Journal: World J Emerg Surg Date: 2017-05-18 Impact factor: 5.469