Traumatic diaphragmatic rupture in children
| Autor: | W. Burhamah, Sami Awadalla, A. Hardy, Melania Matcovici |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Diaphragmatic hernia Pleural effusion lcsh:Surgery Diaphragmatic breathing Pediatric surgery Trauma 03 medical and health sciences 0302 clinical medicine Blunt medicine Surgical repair Diaphragmatic rupture business.industry Pediatric trauma Incidence (epidemiology) lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 medicine.disease Polytrauma Surgery Abdominal trauma 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 61, Iss, Pp 101619-(2020) |
| ISSN: | 2213-5766 |
| DOI: | 10.1016/j.epsc.2020.101619 |
| Popis: | Introduction Traumatic diaphragmatic ruptures (TDR) are rare in children and when present are usually associated with polytrauma. Due to the non-specific signs in acute setting and to the occurrence with other main organ injuries, the diagnosis of TDR is often missed. The few reported cases in the literature are showing a high incidence of delayed diagnosis leading to increased morbidity and mortality. We present the case of a boy who was admitted after being run over by a lorry and an early diagnosis of TDR was made. An initial Chest X-ray showed a right elevated hemidiaphragm raising the possibility of TDR. A misleading diagnosis of pleural effusion led to insertion of a chest drain with no significant consequences. A repeated CT confirmed the TDR diagnosis and the patient was taken to theatre the same day for surgical repair. He had an eventful recovery and he was discharged 28 days postoperatively. Conclusion The diagnosis of TDR remains a challenging clinical and imaging entity. A very high index of suspicion is required in the scenario of a polytrauma patient, especially in victims of blunt abdominal trauma. |
| Databáze: | OpenAIRE |
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