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Images in Intensive Medicine
Post-traumatic diaphragmatic rupture
Rotura diafragmática postraumática
A.N. García Herrera
Corresponding author
herrera.adriana@gmail.com

Corresponding author.
, E. Usón García
Servicio de Medicina Intensiva, Policlínica Nuestra Señora del Rosario, Ibiza, Balearic Islands, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 24-year-old man with closed thoracoabdominal trauma&#44; fractures in 3rd to 10th right ribs&#44; and hemo-pneumothorax after motorcycle accident&#46; The patient presents worsening respiratory symptoms 1 week later as seen on the thoracoabdominal CT scan &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; and MRI &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; performed&#46; A diaphragmatic defect &#40;12&#8239;cm in diameter&#41; is confirmed &#40;arrows&#41; with complete herniation of the patient&#8217;s right hepatic lobe and biliary vesicle &#40;asterisks&#41;&#46; Emergency surgical repair was performed with satisfactory outcomes&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The rate of occurrence of diaphragmatic rupture is between 1&#37; and 7&#37; of all closed thoracoabdominal traumas reported due to an increased transdiaphragmatic pressure with tear of muscle fibers and&#47;or avulsion of their insertion&#46; This lesion often goes misdiagnosed&#46; However&#44; obstructive symptoms often appear due to incarcerated organs or following extubation after negativization of intrathoracic pressure&#46; This entity should&#44; therefore&#44; be suspected&#44; and the mechanism of trauma known for a proper diagnosis&#46;</p></span>"
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Article information
ISSN: 21735727
Original language: English
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