TRAUMATIC RUPTURE OF DIAPHGRAM: A CASE REPORT

Abstract

Vidyadhar A. Kinhal1, Mahesh Desai S2, Syeda Siddiqua Banu3

Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an occult and delayed presentation with non-diagnostic imaging studies, thus being easily missed. A high index of suspicion should be maintained in such cases because delayed diagnosis is associated with an increased risk for herniation and strangulation of abdominal organs, leading to life threatening consequences. For patients with uncertain diagnosis-diagnostic laparoscopy, thoracoscopy or open surgical exploration may be needed. In established cases DI is repaired with open surgical or minimally invasive techniques. Neglected DI is associated with high mortality. Its diagnosis becomes difficult especially in poly trauma patients and occult cases. Therefore, the detection, an accurate diagnosis and prompt management is a real challenge. We report a case of DI due to blunt thoraco abdominal trauma in a 28-year-old gentleman managed successfully at our hospital.

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