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Chest X-ray before (left) and after (right) tube thoracostomy placement with right-sided diaphragm elevation.
Source publication
Motor vehicle collisions (MVC) cause more than one million deaths annually and an estimated 20-50 million significant injuries. They can cause blunt and penetrating trauma. Blunt diaphragmatic rupture is generally associated with multiple severe injuries due to the high force needed to cause the injury. Traumatic diaphragmatic rupture (TDR) is norm...
Context in source publication
Context 1
... patient was taken to the operating room (OR) with Orthopedic surgery for open reduction, internal fixation of the right humerus and pelvic fractures. Postoperatively, on routine CXR comparison, it was noted that the patient had persistent elevation of the right hemi-diaphragm since tube thoracostomy placement (Figure 1). Thoracic surgery was consulted for further evaluation. ...
Citations
... .While there is no consensus on the best surgical approach, some believe that the abdominal approach is more beneficial than the thoracic approach [7]. The minimally invasive approach suggests by some authors if the patient is stable, and TDR is questionable [11]. Table 1 shows some cases reported in the literature. ...
A traumatic diaphragmatic rupture occurs in approximately 5 % of all trauma cases, making diagnosis difficult. Images can be used for most diagnoses; however, some can be detected intraoperatively. Based on its presentation, mechanism, side, diagnostic modality, and surgical approach, the diaphragmatic hernia can be discussed from several perspectives. In this report, we present the case of a 39-year-old female who suffered a rupture of her right diaphragm following a motor vehicle accident. Her symptoms mimic those of hemorrhage. A repair was performed through an abdominal approach, and the patient was discharged from the hospital without complications.
