Pitfalls in diagnosis of diaphragmatic tear
Journal Title: International Journal of Biomedical and Advance Research - Year 2016, Vol 7, Issue 2
Abstract
Traumatic diaphragmatic injury is a life threatening and an occult clinical entity which can be easily missed in diagnosis. Diaphragmatic ruptures are usually associated with abdominal trauma however, it can occur in isolation. Their delayed presentation can be due to the delayed rupture of the diaphragm or delayed detection of diaphragmatic rupture, making the accurate diagnosis of Diaphragmatic Injury is challenging to the surgeons. Here we report a case of young adult male with poly trauma, whose initial diagnosis revealed multiple rib fractures on right side and right haemothorax and normal left pneumothorax. After intercostal drainage was placed on right side, left diaphragmatic tear with bowel contents in left lung cavity was revealed. He was successfully managed surgically. Hence we report this case to emphasize that a high clinical index of suspicion is needed to diagnose, effectively manage diaphragmatic rupture even with a remote history of high-velocity injury.
Authors and Affiliations
Harsh P, Vijaya P, Sanjay N, Mallikarjun C
Keywords
Related Articles
- EP ID EP356473
- DOI 10.7439/ijbar.v7i2.2968
- Views 88
- Downloads 0
A case control study on risk factors of breast cancer among women attending MNJ Cancer Hospital, Hyderabad
Background: Cancer has become one of the ten leading causes of death in India. Breast cancer is the most common diagnosed malignancy in India, it ranks second to cervical cancer. Globally, breast cancer is by far the mos...
Tortuous abdominal aorta: A case report from cadaveric dissection with radiological emphasis
During routine dissection for MBBS first year in the region of abdomen, tortuous abdominal aorta was noticed in a female cadaver of approximately sixty five years of age. There was no dilatation or reduction in vessel wa...
A study of pattern of secretion of salivary melatonin in shift workers
Background: Globalization and industrialization lead round the clock service providers (shift workers) vulnerable for circadian rhythm sleep disorders Aim & Objective: To know how effect of shift work on secretory patter...
A Clinical Study of Non Venereal Genital Dermatoses of Adult in a Tertiary Care Center
Aim and Objectives: To study the clinical pattern, aectiological factors, age/sex wise distribution, and the percentage of various non-venereal genital dermatoses and to assess which dermatoses have a predilection for ex...
Clinical Evaluation of Efficacy of Dexmedetomidine in Maintaining Intraoperative Haemodynamics in Posterior Fixation Surgery Following Traumatic Spine Injury
Aim and Objectives: The present study was undertaken to compare the efficacy and safety of dexmedetomidine versus nitroglycerin in maintaining intraoperative haemodynamic stability and postoperative recovery profile in a...