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2020, Number 1

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Rev Cubana Pediatr 2020; 92 (1)

Diaphragmatic and splenic rupture of traumatic origin in a teenager

Leon HO, Hernández DPA, López RY, Pérez AA

Language: Spanish
References: 10
Page: 1-19
PDF size: 552.51 Kb.


ABSTRACT

Introduction: The diaphragmatic rupture is a diagnostic and a therapeutic challenge for physicians who have to face the management of polytraumatized patients; there must always be suspicion on traumatic injuries of thoracic or abdominal location.
Objective: To inform the diagnostic and therapeutic elements followed in case of diaphragmatic and splenic rupture of traumatic origin.
Presentation of the case: 14-year-old male teenager that was admitted for presenting stabbing wound by sharp weapon, with abdominal location and clinical manifestations that allow making the diagnosis of the condition being treated. During surgery, it was found the rupture of the diaphragm, a diaphragmatic hernia and splenic rupture with output of blood into the abdominal cavity. It was conducted the reduction of the hernia, the suture of the diaphragm and the removal of the spleen due to the state of the organ during the surgery.
Conclusions: Post-traumatic diaphragmatic rupture is an entity that it is most often seen in pediatric patients. The clinical examination aided by imaging studies is vital for its diagnosis, early treatment and to avoid complications. It is important to maintain a high index of suspicion to face this rare entity, but not so rare in the pediatric age group. The patient had a favourable evolution and he was discharged of the surgery service after 10 days of hospitalization.


REFERENCES

  1. Merilien F, Cisneros Domínguez CM, Escalona Cartaya JA, Rodríguez Fernández Z, Romero García LI. Morbilidad y mortalidad por trauma abdominal durante el cuatrienio 2007-2010. MEDISAN. 2013 [acceso 06/11/2018];17(3):435-448. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192013000300003&lng=es

  2. Galloso Cueto GL, Bello Delgado R, Alonso Domínguez N, Jordán Alonso A, Alfonso Moya O. Hernia diafragmática traumática. Presentación de un caso. Rev Med Electrón. 2010 [acceso 05/11/2018];32(5):1-9. Disponible en: http://scielo.sld.cu/scielo.php?script= sci_arttext&pid=S1684-18242010000500013&lng=es

  3. Aghajanzadeh M, Hemmati H, Delshad MSE, Samidost P, Mosaffaei O, Rafiei E. Rare Presentations and Repair of Delayed Traumatic Diaphragmatic Rupture: Report of 39 Cases Over 10 Years. Clin Surg. 2018 [acceso 05/10/2018];3(1859):1-8. Disponible en: http://www.clinicsinsurgery.com/full-text/cis-v3-id1859.php

  4. Vázquez Minero JC, Arriola Navas JM, Quiroga Arias VE, Cervantes Silva Y. Ruptura diafragmática postraumática de presentación tardía. A propósito de dos casos. Neumol Cir Torax. Mexico. 2018;77(2):151-6.

  5. Turmak M, Deniz MA, Özmen CA, Aslan A. Evaluation of the multi-slice computed tomography outcomes in diaphragmatic injuries related to penetrating and blunt trauma. Cling Imagin. 2018;47:65-73. doi: 10.1016/j.clinimag.2017.08.010.

  6. Basso MR, Marchese LT, Carmello VT. Hernia diafragmática traumática en niños: Manifestación precoz y tardía. Rev Cir Infantil. Brasil. 2002;13(3):176-80.

  7. Lerendegui L, Gauto LA, Esnaola JS, Udaquiola J, Vagni RL, Lobos P, et. al. Ruptura diafragmática postraumática en pediatría. A propósito de un caso. Arch Argent Pediatr 2018 [acceso 06/10/2018];116(2):292-5. Disponible en: http://dx.doi.org/10.5546/aap.2018.e292

  8. Domínguez González EJ, Ramón Núñez ER, Carrazana Araujo M, Puente Fonseca CJ, Romero Soria MI, Nápoles Oconor L. Hernia diafragmática traumática en un niño. Rev Cubana Cir. 2015 [acceso 05/11/2018];54(3). Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/227

  9. Panda A, Kumar A, Gamanagatti S, Patil A, Kumar S, Gupta A. Traumatic diaphragmatic injury: a review of CT signs and the difference between blunt and penetrating injury. Diagn Interv Radiol. 2014 [acceso 07/10/2018];20(2):121-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4463306/

  10. McDonald AA, Robinson B, Alarcon L, Bosarge P, Dorion H, Haut E, et. al. Evaluation and management of traumatic diaphragmatic injuries. J Trauma Acute Care Surgery. 2018;85(1):198-207. doi:10.1097/TA.0000000000001924.




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