Traumatic diaphragmatic rupture: delayed presentation following a SCUBA dive
Pei Yinn Toh1, Simon Parys2, Yuki Watanabe2
1Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia pei.toh@health.wa.gov.au.
BMJ Case Reports
|September 10, 2020
Summary
Traumatic diaphragmatic rupture is a rare condition that can be difficult to diagnose. This case highlights a delayed presentation after SCUBA diving, requiring emergent laparoscopic repair.
Area of Science:
- Medical Diagnostics
- Surgical Procedures
Background:
- Traumatic diaphragmatic rupture (TDR) is a rare but serious condition.
- It presents diagnostic challenges for healthcare professionals.
- Delayed presentation can lead to complications like strangulation.
Observation:
- A 42-year-old woman experienced severe left shoulder, chest, and upper abdominal pain after a SCUBA dive.
- Imaging revealed a left-sided diaphragmatic hernia with stomach involvement.
Findings:
- The patient underwent successful laparoscopic repair of the diaphragmatic defect.
- The patient recovered well following the surgical intervention.
Implications:
- This case underscores the importance of considering TDR in patients with relevant trauma history, even after seemingly innocuous activities like SCUBA diving.
- Laparoscopic repair is a viable and effective treatment option for diaphragmatic hernias.
- Early diagnosis and intervention are crucial for favorable outcomes in TDR.
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