Diaphragmatic rupture: a single-institution experience and review of the literature

Corbellini, Carlo

doi:10.5505/tjtes.2017.78027

Cited by 16 publications

(20 citation statements)

References 35 publications

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“…However, if the bowel is compromised with signs of gross contamination, the patient may require longterm antibiotics, an extensive washout, and possible bowel resection and colostomy, as reported by Corbellini et al In their retrospective study analyzing 14 patients with diaphragmatic rupture, they report a case with diaphragmatic rupture and bowel perforation which required a transverse colon resection and colostomy in addition to the standard reduction and primary repair. The authors reported 3 patients (27%) with postoperative pulmonary-related complications, which were successfully treated conservatively, as in our case [7].…”

Section: Discussionsupporting

confidence: 52%

“…In a recent retrospective study analyzing 14 patients diagnosed with diaphragmatic rupture, Corbellini et al found 57% of patients were diagnosed preoperatively, while the remaining 43% were diagnosed intraoperatively. Investigators found chest radiographs and CT scans to be diagnostic in 50% and 60% of cases, respectively [7]. When there is a high degree of suspicion despite "negative" diagnostic imaging, the clinician should consider direct visualization by laparoscopy or thoracoscopy, which can exclude or confirm the existence of a diaphragmatic injury.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature

et al. 2020

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Rare disease Background: Diaphragmatic rupture is a rare pathology that reported in less than 0.5% of all trauma cases, with signs and symptoms that can easily be misdiagnosed. Clinicians must maintain a high index of suspicion to correctly diagnose and manage this pathology. We present a rare case of a large diaphragmatic rupture with transthoracic gastric and colon herniation that was successfully repaired, along with a literature review. Case Report: A 59-year-old woman presented to our Trauma Center after being involved in a motor vehicle collision. She complained of chest and abdominal pain, with decreased breath sounds on the left side. CT imaging revealed discontinuity of the left hemidiaphragm, with intrathoracic herniation of stomach and colon with multiple other injuries. The patient was taken for an emergent laparotomy. The diaphragmatic rupture measured 20 cm in length, with a stellate component. After ensuring complete reduction of the herniated organs, the diaphragmatic defect was primarily repaired. The patient recovered from her injuries and was doing well at last followup in the clinic. Conclusions: This case highlights the importance of diaphragmatic rupture and its associated intra-abdominal injuries when treating trauma patients. With missed diaphragmatic injuries leading to a potential morbidity rate of 30% and mortality rate as high as 10%, the clinician must have a high index of suspicion to correctly diagnose and manage this pathology in a timely fashion. More research is needed to provide surgeons with evidence-based standardized therapies for dealing with these rare pathologies to ensure optimal patient outcomes.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature

et al. 2020

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“…Since diaphragmatic injuries are quite uncommon in trauma, with a reported incidence in literature between 0.8% and 8% [1], the true incidence of abdominal organ herniation is unknown, also because many cases remain undiagnosed. The blunt vs. penetrating trauma ratio is widely variable geographically [[1], [2], [3]]. Male people, especially aging from 30 to 45 y.o.…”

Section: Introductionmentioning

confidence: 99%

Double traumatic diaphragmatic injury: A case report

Iadicola

Branca

Lupo

et al. 2019

International Journal of Surgery Case Reports

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Highlights Diaphragmatic injuries are rare complications from trauma. Bilateral diaphragmatic injuries are extremely rare and just a few cases are reported. Sometimes the diagnosis is delayed or even missed. Both primary repair or mesh repair are safe and feasible. The use of a polypropylene mesh with titanized surface has not been attempted before.

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“…In trauma, this is often performed through a laparotomy due to likely abdominal visceral injury; however, for nontraumatic rupture thoracotomy is the favored approach. Usually the diaphragm can be repaired directly with sutures; however, if the defect is large, or quality of tissue poor, a polypropylene mesh or Goretex patch can be used to reduce tension on the repair . Recently, there are reports of repair being performed by VATS …”

Section: Discussionmentioning

confidence: 99%

Spontaneous diaphragmatic rupture as a complication following lung transplantation

Kovzel

Ali

Aresu

et al. 2020

American Journal of Transplantation

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Spontaneous diaphragm rupture is a rare but potentially life‐threatening condition, requiring urgent surgical intervention. Here we present two patients who developed spontaneous right hemidiaphragm rupture with abdominal visceral herniation into the thoracic cavity several days following bilateral lung transplantation, as an unusual complication. Both patients' surgeries were performed through bilateral anterior thoracotomies and were uneventful. There may be an association with this complication and patients suffering with emphysema, typically receiving donor lungs smaller than their native lungs, and with significant pretransplant exposure to steroids, factors that when combined may contribute to an increased risk of spontaneous diaphragmatic rupture in the absence of a significant precipitant. If a similar clinical picture is seen, teams managing lung transplant recipients should be aware of this potential complication and recognize the need for urgent intervention.

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Diaphragmatic rupture: a single-institution experience and review of the literature

Cited by 16 publications

References 35 publications

Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature

Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature

Double traumatic diaphragmatic injury: A case report

Spontaneous diaphragmatic rupture as a complication following lung transplantation

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