Complication rare d’une hernie diaphragmatique gauche post-traumatique

Aïssa, A.; Hassine, A.; Hajji, H.; Salah, K. Ben; Morjene, A. Ben Amor; Alouini, R.

doi:10.1016/j.pneumo.2013.04.006

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…L'étude épidémiologique retrouve que la rupture du diaphragme est le plus souvent une lésion de l'adulte jeune de sexe masculin comme dans notre étude [2]. L'âge moyen de nos patients était de 28,8 ans avec une prédominance masculine.…”

Section: Discussionunclassified

“…Sur le plan anatomopathologique, la rupture concerne la coupole diaphragmatique gauche dans 70 à 90 % des cas, compte tenu du rôle protecteur du foie à droite [3,4,7]. En outre, les ruptures droites sont souvent associées à des lésions vitales (foie, veines sus-hépatiques, veine cave inférieure), aboutissant au décès avant l'arrivée du blessé à l'hôpital [2]. Dans la série de notre service, nous avons une nette prédominance de l'atteinte diaphragmatique gauche avec [6,7] .…”

Section: Discussionunclassified

“…La gravité est liée aux lésions associées [2]. La mortalité des traumatisés victimes d'une rupture du diaphragme est estimée entre 20 et 60%.…”

Section: Discussionunclassified

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Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali.

MAIGA, et al...

2023

JAFRCHIR

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Introduction: traumatic rupture of the diaphragm corresponds to a traumatic breach of the diaphragm which can be complicated by an intrathoracic herniation of the abdominal viscera. Objective: describe the diagnostic and therapeutic aspects of diaphragmatic ruptures. Patients and Method: We conducted a retrospective and descriptive study from March 2012 to September 2020, carried out in the thoracic surgery department at the Mali Hospital. Patients with traumatic rupture of the diaphragm were included. The diagnostic, therapeutic and evolutionary aspects were analyzed. Results: we collected thirteen (13) cases with an average age of 28.8 years with an extreme of 3 and 59 years. There were 10 men and 3 women. The etiology was road accidents in 6 cases. CT made it possible to make the diagnosis in 10 patients. A thoracotomy was performed in 12 patients. The most frequent herniated organs were the stomach in 11 cases and the colon in 6 cases. The average size of the rupture was 7.3 cm and was located at the level of the muscular body in 8 cases. Associated lesions were found in 9 cases. Treatment consisted of reduction of the herniated organs, suture of the breach and repair of associated lesions. The evolution was favorable in 12 cases. A case of death was recorded. Conclusion: Diaphragmatic rupture is an uncommon lesion which most often reflects serious trauma whose prognosis depends on the associated lesions. The thoracic route is an interesting alternative for the treatment of diaphragmatic lesions

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Section: Discussionunclassified

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Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali.

MAIGA, et al...

2023

JAFRCHIR

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“…The hernia resulting from an old neglected trauma has been the subject of several scientific publications in which it was reported that it caused a 5 % diaphragmatic involvement. In this Case, the abdominal wound induced a passage of the abdominal organs into intra-thoracic [ 7 ] and rarely splenic rupture [ 8 ], gastric volvulus [ 9 ] as well as exceptionally an acute pancreatitis [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Massive post-traumatic neglicted diaphragmatic hernia revealed by necrotizing pancreatitis, A case report according scare guidelines

Elmir

Noumairi

Jabi

et al. 2021

Annals of Medicine &Amp; Surgery

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“…Its diagnosis can quickly go unnoticed at the time of the initial management and can be revealed late by complications such as herniation and strangulation of intraabdominal organs. In contrast, the diaphragmatic injury can be diagnosed at laparotomy in the presence of simultaneous organ injury [3][4]. It is a surgical emergency, and the choice between the abdominal and thoracic approach is conditioned by the age of the rupture and the lesion assessment.…”

Section: Introductionmentioning

confidence: 99%

Unrecognized Diaphragm Hernia

Elhattabi

Benghait

Essaidi

et al. 2021

JAMMR

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Introduction: Post-traumatic diaphragmatic hernia is defined as the passage of abdominal viscera into the thorax through a post-traumatic diaphragmatic breach. They are rare and may be unrecognized in 10-30% of cases at initial management. Materials and Methods: A retrospective descriptive study including all the patients taken in charge for post-traumatic neglected diaphragmatic lesions over two years between December 2018 and January 2021 within the service of visceral emergencies of the universitary hospital center Ibn Rochd of Casablanca. Our work aims to define the epidemiological, clinical, and therapeutic characteristics of patients admitted for post-traumatic diaphragmatic lesions. Results: The average age of the patients was 30 years (range 18 to 43 years). All patients were male. They were due to a closed trauma in 11 patients (32%) and a penetrating trauma in 58%. The diagnosis was guided preoperatively by the different imaging techniques, in particular chest radiography and CT scan. Treatment was mainly by laparotomy and consisted of closure of the diaphragmatic breach by simple sutures. Conclusion: Post-traumatic diaphragmatic hernias can go unnoticed and can be life-threatening in case of associated lesions or complications.

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Complication rare d’une hernie diaphragmatique gauche post-traumatique

Cited by 4 publications

References 12 publications

Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali.

Traitement Chirurgical Des Ruptures Traumatiques Du Diaphragme : A Propos De 13 Cas a L’hopital Du Mali.

Massive post-traumatic neglicted diaphragmatic hernia revealed by necrotizing pancreatitis, A case report according scare guidelines

Unrecognized Diaphragm Hernia

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