Massive spontaneous diaphragmatic rupture induced by a squatting position
1Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Korea.
Summary
Spontaneous diaphragmatic rupture is rare. This case highlights a 68-year-old male experiencing chest pain due to a stomach herniation through a diaphragmatic defect, successfully treated with surgery.
Area of Science:
- Medicine
- Surgery
- Gastroenterology
Background:
- Diaphragmatic rupture typically results from abdominal or chest trauma.
- Spontaneous diaphragmatic rupture is an exceedingly rare condition.
Observation:
- A 68-year-old male presented with chest pain after farm work in a squatting position.
- Imaging revealed a 5 cm defect in the left diaphragmatic dome.
- The entire stomach had herniated into the thoracic cavity.
Findings:
- The diaphragmatic defect was round with a partially well-demarcated margin.
- Surgical excision of the fragile tissue and primary closure of the defect were performed.
- The patient experienced an uneventful recovery.
Implications:
- This case underscores the possibility of spontaneous diaphragmatic rupture even without significant trauma.
- Prompt surgical intervention can lead to successful outcomes and recovery.
- Understanding rare presentations of diaphragmatic defects is crucial for timely diagnosis and treatment.
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