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[Post traumatic diaphragmatic rupture in children: Case report].
Luciana Lerendegui1, Luis A Gauto2, Jimena S Esnaola3
1Servicio de Cirugía y Urología Pediátrica, Hospital Italiano de Buenos Aires, CABA, Argentina. luciana.lerendegui@hospitalitaliano.org.ar.
Archivos Argentinos De Pediatria
|March 21, 2018
Summary
Diaphragmatic rupture, a rare pediatric trauma complication, often goes undetected initially. This case highlights delayed diagnosis in an asymptomatic child, emphasizing the need for vigilance in trauma evaluations.
Area of Science:
- Pediatric Surgery
- Trauma Management
- Diagnostic Imaging
Background:
- Diaphragmatic rupture is uncommon in children, frequently resulting from high-impact trauma.
- Delayed diagnosis (25-50% of cases) elevates complication risks in pediatric patients.
- Early identification is crucial for effective management and improved outcomes.
Observation:
- An 8-year-old asymptomatic patient presented post-vehicular accident.
- A 36-hour post-admission assessment revealed left pulmonary hypoventilation.
- Computed tomography confirmed intrathoracic herniation of abdominal contents.
Findings:
- Surgical intervention successfully addressed the diaphragmatic rupture.
- The patient remained asymptomatic post-operatively.
- Radiographic follow-up confirmed no signs of recurrence.
Implications:
- This case underscores the importance of thorough evaluation in pediatric trauma, even with asymptomatic presentations.
- Advanced imaging like CT is vital for diagnosing subtle diaphragmatic injuries.
- Prompt surgical management can lead to favorable outcomes in pediatric diaphragmatic rupture.
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