A Case of Traumatic Diaphragm Rupture: A Differential Diagnosis Not to Be Missed.

Autor: Alfaraj D; Emergency Medicine, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU., Alwatyan KI; Medicine, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU., Al Ashour MH; Medicine, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU., Alghamdi FA; Medicine, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU., Alhowaish AA; Medicine, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Dec 02; Vol. 15 (12), pp. e49820. Date of Electronic Publication: 2023 Dec 02 (Print Publication: 2023).
DOI: 10.7759/cureus.49820
Abstrakt: Traumatic diaphragmatic rupture is a rare condition with clinical stigmata that overlaps with a similarly fatal condition such as tension pneumothorax. Although the former is much rarer, early differentiation between a ruptured diaphragm and a tension pneumothorax is crucial to avoid incorrect interventions. In this case, we present a middle-aged male construction worker who fell from the roof of a two-story building and presented to our emergency department with a clinical presentation similar to that of tension pneumothorax. However, a chest X-ray later revealed a left diaphragmatic hernia, which completely altered the management. This case helps highlight the importance of widening one's list of differential diagnoses, especially in the setting of a hectic environment and a vague presentation.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Alfaraj et al.)
Databáze: MEDLINE