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Related Concept Videos

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Related Experiment Video

Updated: Nov 8, 2025

Author Spotlight: Unraveling the Impact of Mechanical Ventilation on Diaphragm Function and Patient Outcomes
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Bilateral delayed traumatic diaphragmatic injury.

Anna M Sauer Durand1, Christian A Nebiker1, Mark Hartel1

  • 1Department of Visceral Surgery, Kantonsspital Aarau, Aarau, Switzerland.

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|April 22, 2021
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Summary

This case report details a rare instance of bilateral traumatic diaphragmatic hernias, diagnosed 20 years after the initial injury. Prompt surgical repair was crucial for patient recovery.

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Gastroenterology

Background:

  • Delayed presentation of traumatic diaphragmatic hernias is uncommon.
  • A 47-year-old male with a history of significant trauma presented with acute epigastric pain.

Observation:

  • Initial imaging revealed a left-sided intrathoracic stomach and bowel.
  • Computed tomography confirmed a diaphragmatic hernia, presumed traumatic in origin.
  • Postoperative imaging after initial repair showed a contralateral right-sided diaphragmatic hernia.

Findings:

  • The patient underwent two surgical interventions for bilateral diaphragmatic hernias.
  • The initial repair involved direct suture and mesh augmentation for the left hernia.
  • The second surgery addressed an extensive right-sided hernia involving liver, small bowel, and colon, requiring partial repair and inlay mesh placement.

Implications:

  • Bilateral delayed traumatic diaphragmatic hernias are exceptionally rare.
  • Thorough intraoperative exploration of the contralateral side is recommended in cases with a history of significant trauma.
  • This case underscores the importance of considering delayed complications of diaphragmatic trauma.