FRACTURES OF THE RIBS AND THE DIAPHRAGMATIC RUPTURE WITH A FORMATION OF THE TRANSDIAPHRAGMATIC INTERCOSTAL HERNIA AS A RESULT OF SEVERE COUGHING (CLINICAL OBSERVATION WITH A REVIEW OF THE LITERATURE)

Autor: S. N. Danielyan, M. M. Abakumov, R. S. Muslimov, I. E. Galankina, A. P. Vilk
Jazyk: ruština
Rok vydání: 2016
Předmět:
Zdroj: Неотложная медицинская помощь, Vol 0, Iss 4, Pp 42-47 (2016)
Druh dokumentu: article
ISSN: 2223-9022
2541-8017
Popis: ABSTRACT. Severe coughing might lead to development of a number of complications, including the diaphragmatic rupture and the ribs fractures. The report contains two similar rare clinical cases: male patients aged 48 and 74 years with transdiaphragmatic intercostal thoracic wall hernia after the rupture of the left half of the diaphragm and ribs fractures as a result of violent coughing. Both patients had a late diagnosis of injuries. Surgical therapy was performed via thoracotomy access using a mesh implant. histological study of the rib in the damaged area in one case detected fibrous osteodysplasia. The review of literature on this rare type of injury was analyzed.
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