Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report

Background: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma.Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest an...

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Autores principales:	Marco Pace, Damiano Vallati, Elena Belloni, Marco Cavallini, Mohsen Ibrahim, Erino Angelo Rendina, Giuseppe Nigri
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	emergency surgery blunt trauma bilateral diaphragmatic rupture COVID-19 repair of diaphragm case report Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d95a0da04ee6447ebbdc6f9ec13f7d39
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spelling	oai:doaj.org-article:d95a0da04ee6447ebbdc6f9ec13f7d392021-12-01T21:46:58ZBlunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report2296-875X10.3389/fsurg.2021.772913https://doaj.org/article/d95a0da04ee6447ebbdc6f9ec13f7d392021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.772913/fullhttps://doaj.org/toc/2296-875XBackground: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma.Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest and abdominal contrast-enhanced computed tomography (CT) scan, the patient underwent emergency suturing of the left hemidiaphragm. On postoperative day (POD) 4, a CT scan performed due to the sudden onset of dyspnea revealed rupture of the right hemidiaphragm, which was not detected on the preoperative CT scan. On POD 9, the right hemidiaphragm was repaired with mesh during a right thoracotomy. The patient recovered 14 days after surgery. However, the postoperative course was complicated by an asymptomatic COVID-19 infection that significantly delayed her discharge from the hospital.Conclusions: Difficulties in preoperative diagnosis and treatment, together with the lack of data in the literature, make this type of trauma a challenge for all acute care and general surgeons.Marco PaceDamiano VallatiElena BelloniMarco CavalliniMohsen IbrahimErino Angelo RendinaGiuseppe NigriFrontiers Media S.A.articleemergency surgeryblunt traumabilateral diaphragmatic ruptureCOVID-19repair of diaphragmcase reportSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emergency surgery blunt trauma bilateral diaphragmatic rupture COVID-19 repair of diaphragm case report Surgery RD1-811
spellingShingle	emergency surgery blunt trauma bilateral diaphragmatic rupture COVID-19 repair of diaphragm case report Surgery RD1-811 Marco Pace Damiano Vallati Elena Belloni Marco Cavallini Mohsen Ibrahim Erino Angelo Rendina Giuseppe Nigri Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
description	Background: A bilateral diaphragmatic rupture is a rare event that occurs in cases of blunt thoracic-abdominal trauma.Case Presentation: We report the case of a 56-year-old female patient with pelvic fracture and second-stage bilateral rupture of the diaphragm due to a car accident. After a chest and abdominal contrast-enhanced computed tomography (CT) scan, the patient underwent emergency suturing of the left hemidiaphragm. On postoperative day (POD) 4, a CT scan performed due to the sudden onset of dyspnea revealed rupture of the right hemidiaphragm, which was not detected on the preoperative CT scan. On POD 9, the right hemidiaphragm was repaired with mesh during a right thoracotomy. The patient recovered 14 days after surgery. However, the postoperative course was complicated by an asymptomatic COVID-19 infection that significantly delayed her discharge from the hospital.Conclusions: Difficulties in preoperative diagnosis and treatment, together with the lack of data in the literature, make this type of trauma a challenge for all acute care and general surgeons.
format	article
author	Marco Pace Damiano Vallati Elena Belloni Marco Cavallini Mohsen Ibrahim Erino Angelo Rendina Giuseppe Nigri
author_facet	Marco Pace Damiano Vallati Elena Belloni Marco Cavallini Mohsen Ibrahim Erino Angelo Rendina Giuseppe Nigri
author_sort	Marco Pace
title	Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
title_short	Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
title_full	Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
title_fullStr	Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
title_full_unstemmed	Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report
title_sort	blunt trauma associated with bilateral diaphragmatic rupture: a case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d95a0da04ee6447ebbdc6f9ec13f7d39
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Blunt Trauma Associated With Bilateral Diaphragmatic Rupture: A Case Report

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