A case of a diaphragmatic rupture complicated with lacerations of stomach and spleen caused by a violent cough presenting with mediastinal shift
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Date
2004
Authors
Kara E.
Kaya Y.
Zeybek R.
Coskun T.
Yavuz C.
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Abstract
Introduction: Diapraghmatic rupture is a clinical case that is mostly seen following a blunt thoracoabdominal trauma or is rarely reported as spontaneously induced by various factors. Clinical Picture: A 28-year-old man presented as an emergency with shortness of breath and severe abdominal pain following a violent cough. His chest radiography and computed tomography demonstrated left diaphragmatic rapture, mediastinal shift and herniation of gastric fundus into the pleural cavity. Treatment: Left thoracotomy for the replacement of herniated gastric fundus and median laparotomy for the repair of serosal layer of gastric fondus and a diaphragmatic gap were performed. Outcome: He made an uneventful recovery. Conclusions: Diaphragmatic ruptures may be caused by violent coughing with serious life-threatening complications.
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Keywords
article, case report, computer assisted tomography, coughing, diaphragm rupture, hiatus hernia, human, laceration, mediastinum disease, spleen injury, stomach injury, surgical equipment, thoracotomy, thorax radiography