Minimally invasive repair of right-sided blunt traumatic diaphragmatic injury
| Autor: | Kiyotaka Imamura, Minoru Takada, Keiko Shichiri, Yoshiyasu Anbo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Thoracic Injuries Diaphragm Diaphragmatic breathing 030105 genetics & heredity Wounds Nonpenetrating Diaphragmatic defect 03 medical and health sciences 0302 clinical medicine Injury Site Blunt medicine Humans Laparoscopy Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Diaphragmatic rupture medicine.diagnostic_test business.industry Thoracoscopy General Medicine medicine.disease Hernia Diaphragmatic Traumatic Surgery Haemodynamically stable Radiography Thoracic Chest cavity Tomography X-Ray Computed business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2020-235870 |
| Popis: | Right-sided blunt traumatic diaphragmatic injury (TDI) is a rare injury that is rarely repaired by the minimally invasive approach in the acute setting. Laparoscopic repair of right-sided TDI is challenging because the liver often obstructs access to the injury site. Herein, we report a case wherein acute right-sided blunt TDI was successfully repaired using a combined laparoscopic and thoracoscopic approach. A 30-year-old man presented with shortness of breath after falling on his back while jumping on a snowboard. CT revealed a right-sided TDI. As the patient was haemodynamically stable, laparoscopic repair was planned. Laparoscopy revealed a right-sided diaphragmatic rupture. As the posterior portion was covered by the liver and difficult to access, we added trocars in the chest cavity and closed the diaphragmatic defect with a thoracic approach. A combined laparoscopic and thoracoscopic approach can repair right-sided diaphragmatic injury by a minimally invasive approach even in the acute setting. |
| Databáze: | OpenAIRE |
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