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Delayed diagnosis of a right-sided traumatic diaphragmatic rupture

Alexandr Kučera1, Michal Rygl1, Jiří Snajdauf1

  • 1Department of Pediatric Surgery;

Clinics and Practice
|April 26, 2014
PubMed

Insights

Right-sided traumatic diaphragmatic rupture is rare in children and often diagnosed late. Delayed diagnosis can lead to complications after surgery, even when patients are intubated.

Area of Science:

  • Pediatric surgery
  • Trauma surgery
  • Thoracic surgery

Background:

  • Traumatic diaphragmatic rupture is a rare but serious injury in children.
  • Delayed presentation is common, with organ herniation into the pleural cavity occurring after extubation.

Observation:

  • A case of a child with a delayed diagnosis of right-sided diaphragmatic rupture is presented.
  • The patient experienced a complicated post-operative course.

Findings:

  • Right-sided diaphragmatic rupture in children is exceptionally rare.
  • Organ herniation can be masked by mechanical ventilation and manifest upon extubation.

Implications:

  • Early recognition and management of traumatic diaphragmatic rupture in pediatric patients are crucial.
  • Understanding the potential for delayed presentation is vital for timely diagnosis and improved surgical outcomes.

Keywords:
complications.diaphragminjury

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