Rhinoceros-related delayed traumatic diaphragmatic rupture

Sebastian, Michael; Abdullah, Alia; Abusharia, Mohamed I.; Abu‐Zidan, Fikri M.

doi:10.14744/tjtes.2019.73857

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…[8] [9].Mortality is almost nil in isolated diaphramatic rupture. The morbidity in right diaphragmatic rupture are often due to associated intra-abdominal or intrathoracic injuries[4] [5] [6] [7][8]. In our case, the prognosis was clouded by urinary peritonitis and the bowel ischemia.…”

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confidence: 77%

Right Post-Traumatic Diaphragmatic Hernia with Liver Dislocation

Anas¹,

Khalid²,

Loubna³

et al. 2023

CRCM

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Diaphragmatic hernia is a rare consequence of thoraco-abdominal trauma. It may be associated with high morbidity and mortality, particularly if surgical intervention is delayed. We report a case of a right diaphragmatic hernia in a 75-year-old woman. The patient was referred to our hospital with mild dyspnea. Chest radiograph showed an overtly elevated right hemi-diaphragm. Thoracic and abdominal computed tomographic scan was requested and showed a defect of the right diaphragmatic muscle wall with intrathoracic ascension of the liver. During the postoperative course, the patient was still on mechanical ventilation, hemodynamically unstable. She developped urinary peritonitis and an extensive bowel ischemia worsening. We report this case to show that the prognosis is related to associated injuries and possible complications. The possibility of a diaphragmatic rupture should be kept in mind and surgery is mandatory in order to avoid complications.

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confidence: 77%

Right Post-Traumatic Diaphragmatic Hernia with Liver Dislocation

Anas¹,

Khalid²,

Loubna³

et al. 2023

CRCM

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“…Animal-related attacks and injuries should be analysed based on the behaviour and anatomy of the attacking animal. Rhinoceros-related injuries in humans are very rare till date 2 .…”

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confidence: 99%

Evisceration of intestines with diaphragmatic laceration and gastric perforation secondary to trauma by rhinoceros attack and its management: a case report

Karki

Shrestha

Basukala

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Injuries from animal attack are one of the major public health problems at present scenario globally. Proper documentation is required for the study of different types of injuries caused by animal attacks so that early intervention can be done during life-threatening conditions. Case Presentation: A 36-year-old male presented with an alleged history of attack by two rhinoceros sustaining injuries over the abdomen, chest, shoulder and thigh. Clinical Findings and Investigations: There was a lacerated abdomen with evisceration of the stomach, small intestine, transverse colon and omentum and a lacerated wound over the left lateral thigh and left buttock along with the right shoulder. Extended Focused Assessment with Sonography in Trauma ultrasound showed minimal free fluid in the pelvis. Blood profile revealed reduced haemoglobin and deranged prothrombin time/international normalized ratio. Interventions and Outcome: Patient underwent exploratory laparotomy twice with repair of diaphragmatic injury, excision of avulsed greater omentum in the first setting and repair of gastric perforation in the second setting with stable haemodynamic status. Conclusion: Abdominal evisceration injury by rhinoceros attack is life threatening though rare. Its management should consist of assessing for and controlling associated haemorrhage, assessing for bowel content leakage, covering the eviscerated abdominal contents and early reduction of viscera if there is no active bleeding.

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Rhinoceros-related delayed traumatic diaphragmatic rupture

Cited by 2 publications

References 9 publications

Right Post-Traumatic Diaphragmatic Hernia with Liver Dislocation

Right Post-Traumatic Diaphragmatic Hernia with Liver Dislocation

Evisceration of intestines with diaphragmatic laceration and gastric perforation secondary to trauma by rhinoceros attack and its management: a case report

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