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2020, Number 1

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Rev Mex Cir Endoscop 2020; 21 (1)

Laparoscopic approach to right diaphragmatic rupture

Cervantes GO, Milagros LGCM, Valdés CA, Arribas MJP, Mancera SC, Lara CAL, Jafif CM, Cajiga LA

Language: Spanish
References: 10
Page: 36-40
PDF size: 224.69 Kb.


ABSTRACT

Traumatic diaphragmatic rupture is a rare entity and difficult to diagnose given the low clinical suspicion and the accompanying injuries. It has an incidence of 1 to 7% in patients with blunt trauma and 10 to 15% in patients with penetrating trauma. The case of a patient with a right diaphragmatic hernia due to blunt trauma from a car accident is presented, as well as a review of the pathophysiology and associated injuries. Special emphasis is placed on radiological diagnosis and the importance of clinical suspicion. Computed tomography is the gold standard for diagnosis, surgical planning, and treatment involving primary diaphragm repair; the laparoscopic route is recommended. This pathology should always be suspected to diagnose it in time, especially in those who have suffered car accidents.


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