Öz
Abstract
Blunt diaphragmatic rupture is difficult to diagnose in the absence of visceral injury or herniation. Diagnosis may be delayed as long as several days and even years. Because of late presentation, trauma can be forgotten and diaphragmatic injury can be omitted. Here, we report a case of diaphragmatic rupture diagnosed 7 months after the blunt trauma in a patient with chest pain complaint. Patient was managed with a thoracotomy and defect was closed primarily. The diagnosis of late diaphragmatic rupture should always be remembered in any patient with blunt trauma history.
Key words: Hernia, diaphragma, trauma, thoracic injuries
Özet
Visseral hasar veya herniasyon yokluğunda künt diafragma rüptürünün tanısı zor olabilir. Tanı birkaç gün hatta yıllar boyunca gecikebilir. Burada, göğüs ağrısı şikayeti olan bir hastada, künt travmadan 7 ay sonra tanısı konulan bir diafragma rüptürü vakasını bildirmekteyiz. Hasta torakotomi ile tedavi edildi ve defektler primer kapatıldı. Geç diafragmatik rüptür tanısı künt travma hikayesi olan her hastada hatırlanmalıdır.
Anahtar sözcükler: Fıtık, diyafragma, travma, torasik yaralanmalar
Anahtar Kelimeler
Kaynakça
- Meyers BF, McCabe CJ. Traumatic diaphragmatic hernia. Occult marker of serious injury. Ann Surg 1993; 218: 783-90.
- Hegarty MM, Bryer JV, Angorn IB, Baker LW. Delayed presentation of traumatic diaphragmatic hernia. Ann Surg 1978; 188: 229-33.
- Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg 1995; 60: 1444-9.
- Athanassiadi K, Kalavrouziotis G, Athanassiou M, Vernikos P, Skekas G, Poultsidi A, Bellenis I. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999; 15:469-74.
- Mihos P, Potaris K, Gakidis J, Paraskevopoulos J, Varvatsoulis P, Gougoutas B, Papadakis G, Lapidakis E.Traumatic rupture of the diaphragm: experience with 65 patients. Injury 2003; 34: 169-72.
- Özdemir A, Özenç A. Delayed traumatic diaphragmatic hernias. TJ Research Med Sd 1988; 6: 329-34.
- Matsevych OY. Blunt diaphragmatic rupture: four year's experience. Hernia 2008; 12: 73-8.
- Reber PU, Schmied B, Seiler CA, Baer HU, Patel AG, Büchler MW. Missed diaphragmatic injuries and their long-term sequelae. J Trauma 1998; 44:183-8.
- Rodriguez-Morales G, Rodriguez A, Shatney CH. Acute rupture of the diaphragm in blunt trauma: analysis of 60 patients. J Trauma. 1986; 26: 438-44.
- Guitron J, Howington J, LoCicero III J. Diaphragmatic Injuries. In Shields TW, Locicero III J, Reed CE, Feins RH ed,. General Thoracic Surgery. 7 th ed Philadelphia: Lippincott Williams and Wilkins; 2009; 937-44
- Clarke DL, Greatorex B, Oosthuizen GV, Muckart DJ. The spectrum pf diaphragmatic imjury in a busy metropolitan surgical service. Injury, Int J. Care Injured 2009; 40: 932-937
- Shanmuganathan K, Killeen K, Mirvis SE, White CS. Imaging of diaphragmatic injuries. J Thorac Imaging 2000; 15: 104-11.
Öz
Visseral hasar veya herniasyon yokluğunda künt diafragma rüptürünün tanısı zor olabilir. Tanı birkaç gün hatta yıllar boyunca gecikebilir. Burada, göğüs ağrısı şikayeti olan bir hastada, künt travmadan 7 ay sonra tanısı konulan bir diafragma rüptürü vakasını bildirmekteyiz. Hasta torakotomi ile tedavi edildi ve defektler primer kapatıldı. Geç diafragmatik rüptür tanısı künt travma hikayesi olan her hastada hatırlanmalıdır
Anahtar Kelimeler
Kaynakça
- Meyers BF, McCabe CJ. Traumatic diaphragmatic hernia. Occult marker of serious injury. Ann Surg 1993; 218: 783-90.
- Hegarty MM, Bryer JV, Angorn IB, Baker LW. Delayed presentation of traumatic diaphragmatic hernia. Ann Surg 1978; 188: 229-33.
- Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg 1995; 60: 1444-9.
- Athanassiadi K, Kalavrouziotis G, Athanassiou M, Vernikos P, Skekas G, Poultsidi A, Bellenis I. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999; 15:469-74.
- Mihos P, Potaris K, Gakidis J, Paraskevopoulos J, Varvatsoulis P, Gougoutas B, Papadakis G, Lapidakis E.Traumatic rupture of the diaphragm: experience with 65 patients. Injury 2003; 34: 169-72.
- Özdemir A, Özenç A. Delayed traumatic diaphragmatic hernias. TJ Research Med Sd 1988; 6: 329-34.
- Matsevych OY. Blunt diaphragmatic rupture: four year's experience. Hernia 2008; 12: 73-8.
- Reber PU, Schmied B, Seiler CA, Baer HU, Patel AG, Büchler MW. Missed diaphragmatic injuries and their long-term sequelae. J Trauma 1998; 44:183-8.
- Rodriguez-Morales G, Rodriguez A, Shatney CH. Acute rupture of the diaphragm in blunt trauma: analysis of 60 patients. J Trauma. 1986; 26: 438-44.
- Guitron J, Howington J, LoCicero III J. Diaphragmatic Injuries. In Shields TW, Locicero III J, Reed CE, Feins RH ed,. General Thoracic Surgery. 7 th ed Philadelphia: Lippincott Williams and Wilkins; 2009; 937-44
- Clarke DL, Greatorex B, Oosthuizen GV, Muckart DJ. The spectrum pf diaphragmatic imjury in a busy metropolitan surgical service. Injury, Int J. Care Injured 2009; 40: 932-937
- Shanmuganathan K, Killeen K, Mirvis SE, White CS. Imaging of diaphragmatic injuries. J Thorac Imaging 2000; 15: 104-11.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 8 Nisan 2010 |
| Yayımlandığı Sayı | Yıl 2010Cilt: 32 Sayı: 4 |