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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Bibliographic Details
Published in:Case reports in surgery 2017-01, Vol.2017 (2017), p.1-4
Main Authors: Nguyen, Patrick, Tran, Daniel D., Davis, Bonnie
Format: Article
Language:English
Subjects:
Abdomen
Blunt trauma
Care and treatment
Case Report
Case reports
Case studies
Computed tomography
Diagnosis
Diaphragm
Diaphragms
Emergency medical care
Hernia
Hernias
Hospitals
Injuries
Intervention
Laparoscopic surgery
Laparoscopy
Methods
Minimally invasive surgery
Motor vehicles
Ostomy
Pain
Repair
Rupture
Rupturing
Surgeons
Surgery
Trauma
Wounds
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Summary: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.
ISSN:2090-6900
2090-6919
DOI:10.1155/2017/4159108