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Updated: May 19, 2026
06:22
Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome (ARDS)
Published on: April 7, 2021
[A marine with acute dyspnea]
Dennis Boumans1, Thiemo F Veneman
1Ziekenhuisgroep Twente, afd. Interne Geneeskunde, Almelo, the Netherlands. de.boumans@zgt.nl
Nederlands Tijdschrift Voor Geneeskunde
|August 30, 2012
Summary
A marine experienced sudden breathing difficulty and stomach pain due to a diaphragmatic rupture, causing his stomach and spleen to move into his chest cavity. This injury likely resulted from a past explosion, requiring surgical repair.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Gastrointestinal Surgery
Background:
- Diaphragmatic rupture is a rare but serious condition that can occur following blunt or penetrating trauma.
- Delayed presentation of diaphragmatic rupture can lead to significant intrathoracic complications.
Observation:
- A 29-year-old male marine presented with acute dyspnea and abdominal discomfort.
- Imaging revealed a diaphragmatic rupture with herniation of the stomach and spleen into the thoracic cavity.
Findings:
- The diaphragmatic rupture was attributed to a blast injury sustained approximately one year prior to presentation.
- Surgical intervention was deemed necessary to address the diaphragmatic defect and organ displacement.
Implications:
- This case highlights the importance of considering delayed complications of traumatic injuries, even after a significant latency period.
- Prompt surgical management is crucial for improving patient outcomes in cases of traumatic diaphragmatic rupture.
- Understanding the long-term sequelae of blast injuries is vital for military medicine.
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