Thoraco-abdominal trauma can in rare cases involve diaphragmatic rupture and subsequent herniation of intra-abdominal contents. We report a case of this complication in a 5-year-old boy who was injured in a car crash, and who manifested respiratory distress and hemodynamic instability after 48 h of being monitored in the pediatric intensive care unit. Multiple radiologic investigations were inconclusive and the definite diagnosis was established only on thoracoscopic exploration.
Role of thoracoscopy in traumatic diaphragmatic hernia / Ghionzoli, Marco; Bongini, Martina; Piccolo, Roberto Lo; Martin, Alessandra; Persano, Giorgio; Deaconu, Diana E.; Messineo, Antonio. - In: PEDIATRICS INTERNATIONAL. - ISSN 1328-8067. - ELETTRONICO. - 58:(2016), pp. 601-603. [10.1111/ped.12887]
Role of thoracoscopy in traumatic diaphragmatic hernia
GHIONZOLI, MARCO;BONGINI, MARTINA;PERSANO, GIORGIO;MESSINEO, ANTONIO
2016
Abstract
Thoraco-abdominal trauma can in rare cases involve diaphragmatic rupture and subsequent herniation of intra-abdominal contents. We report a case of this complication in a 5-year-old boy who was injured in a car crash, and who manifested respiratory distress and hemodynamic instability after 48 h of being monitored in the pediatric intensive care unit. Multiple radiologic investigations were inconclusive and the definite diagnosis was established only on thoracoscopic exploration.
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