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DOI: 10.1055/s-2006-924637
Georg Thieme Verlag KG Stuttgart, New York · Masson Editeur Paris
Traumatic Rupture of Right Hemidiaphragm in a Child
Publication History
Received: July 11, 2005
Accepted after Revision: August 5, 2005
Publication Date:
06 December 2006 (online)
Abstract
Acute right-sided diaphragmatic ruptures are rare in children. We report a case of traumatic right-sided diaphragmatic rupture in a child that was managed by delayed repair. The clinical presentation and importance of making an accurate diagnosis and confirmation of any associated visceral injury before definitive surgery is highlighted.
Résumé
Les ruptures traumatiques du diaphragme droit sont rares chez l'enfant. Nous rapportons le cas d'une rupture diaphragmatique droite qui a été traitée secondairement. La présentation clinique, l'importance de faire un diagnostic en période aiguë, et le bilan des lésions associées sont mis en avant.
Resumen
Las rupturas agudas del diafragma derecho son raras en niños. Presentamos un caso de ruptura traumática derecha en un niño que se trató con reparación diferida. Resaltamos los síntomas clínicos y la importancia de un diagnóstico exacto así como la confirmación preoperatoria de que no hay lesiones viscerales asociadas.
Zusammenfassung
Akute rechtsseitig gelegene Rupturen des Zwerchfells sind selten. Es wird deshalb hier der Fall einer rechtsseitigen Zwerchfellruptur bei einem Kind vorgestellt, das erst mit Verspätung operiert wurde. Das klinische Erscheinungsbild, die Bedeutung einer genauen Diagnose und der Nachweis keiner weiteren viszeralen Verletzungen vor Beginn der endgültigen chirurgischen Therapie werden betont.
Key words
Right diaphragmatic rupture - delayed repair - blunt abdominal trauma
Mots-clés
Rupture diaphragmatique - réparation différée - traumatisme fermé de l'abdomen
Palabras clave
Rotura diafragmática derecha - reparación diferida - trauma abdominal romo
Schlüsselwörter
Zwerchfellruptur - Symptome - Therapie - stumpfes Bauchtrauma
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MBBS, MRCS Brice Antao
Paediatric Surgical Unit
Sheffield Children's Hospital
Western Bank
Sheffield S10 2TH
United Kingdom
Email: briceantao@doctors.org.uk