Preciado-Amador N, Guzmán-Chávez OR, Bautista-González S, Ruvalcaba-Castañeda OG, Sánchez-Vergara S, López-Taylor JG

Language: Spanish
References: 11
Page: 235-238
PDF size: 745.22 Kb.

ABSTRACT

The incidence of diaphragmatic lesions varies in considerable manner according to each hospital. It is most likely to occur in male patients, reaching a prevalence of 5% of the population. The mortality of the pathology ranges from 0.8 to 5%. The diaphragm traumatic lesions are mainly second to blunt trauma. In our article, we present a female patient attending the service of the thorax and cardiovascular surgery for presenting a history of dyspnea, pleuritic pain and evidence of right 70% pleural effusion. When having the axial tomography done, it demonstrated the presence of intestinal loops in thorax as well as free liquid in the abdominal cavity. A laparatomical approach found an intestinal perforation. Right hemicolectomy, ileostomy, diaphragmatic plasty and pleural decortication were performed. The initial diagnosis of a diaphragmatic lesion is difficult, it is reported a rate of late diagnosis of 10 to 61%. Once the diagnosis is done, the surgical reduction is the only therapeutic method to achieve definite repair.

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