Mertay BORAN, Ertay BORAN, Sevim ÜSTEK

Difficulties in evaluation of late presenting blunt diaphragmatic rupture: A case report

Visseral hasar veya herniasyon yokluğunda künt diafragma rüptürünün tanısı zor olabilir. Tanı birkaç gün hatta yıllar boyunca gecikebilir. Burada, göğüs ağrısı şikayeti olan bir hastada, künt travmadan 7 ay sonra tanısı konulan bir diafragma rüptürü vakasını bildirmekteyiz. Hasta torakotomi ile tedavi edildi ve defektler primer kapatıldı. Geç diafragmatik rüptür tanısı künt travma hikayesi olan her hastada hatırlanmalıdır.

Geç dönemde ortaya çıkan künt diafragma rüptürünün değerlendirme zorlukları: Olgu sunumu

Blunt diaphragmatic rupture is difficult to diagnose in the absence of visceral injury or herniation. Diagnosis may be delayed as long as several days and even years. Because of late presentation, trauma can be forgotten and diaphragmatic injury can be omitted. Here, we report a case of diaphragmatic rupture diagnosed 7 months after the blunt trauma in a patient with chest pain complaint. Patient was managed with a thoracotomy and defect was closed primarily. The diagnosis of late diaphragmatic rupture should always be remembered in any patient with blunt trauma history.

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