Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Traumatic Right Diaphragmatic Rupture Combined with Avulsion of the Right Kidney and Herniation of the Liver into the Thorax

  • Yoo, Dong-Gon (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Chong-Wook (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Chong-Bin (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Ahn, Jae-Hong (Department of Diagnostic Radiology, Gangneung Asan Hospital, University of Ulsan Colledge of Medicine)
  • Received : 2010.07.16
  • Accepted : 2011.01.17
  • Published : 2011.02.05
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Abstract

Right-sided diaphragmatic rupture is less common and more difficult to diagnose than left-sided lesion. It is rarely combined with the herniation of the abdominal organs into the thorax. High level of suspicion is the key to early diagnosis, and a delay in diagnosis is implicated with a considerable risk of mortality and morbidity. We experienced a case of right-sided diaphragmatic rupture combined with complete avulsion of the right kidney and herniation of the liver into the thoracic cavity.

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References

  1. Bosanquet D, Farboud A, Luckraz H. A review of diaphragmatic injury. Resp Med 2009;2:1-6.
  2. Athanassiadi K, Kalavrouziotis G, Athanassiou M, et al. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999;15:469-74. https://doi.org/10.1016/S1010-7940(99)00073-1
  3. Williams M, Carlin AM, Tyburski JG, et al. Predictors of mortality in patients with traumatic diaphragmatic rupture and associated thoracic and/or abdominal injuries. Am Surg 2004;70:157-62.
  4. Reber PU, Schmied B, Seiler CA, Baer HU, Patel AG, Buechler MW. Missed diaphragmatic injuries and their long-term sequelae. J Trauma 1998;44:183-8. https://doi.org/10.1097/00005373-199801000-00026
  5. Cohen Z, Gabriel A, Mizrachi S, Kapuler V, Mares AJ. Traumatic avulsion of kidney into the chest through a ruptured diaphragm in a boy. Pediatr Emerg Care 2000;16:180-1. https://doi.org/10.1097/00006565-200006000-00012
  6. Turhan K, Makay O, Cakan A, et al. Traumatic diaphragmatic rupture: look to see. Eur J Cardiothorac Surg 2008;33:1082-5. https://doi.org/10.1016/j.ejcts.2008.01.029
  7. Mihos P, Potaris K, Gakidis J, et al. Traumatic rupture of the diaphragm: experience with 65 patients. Injury 2003;34:169-72. https://doi.org/10.1016/S0020-1383(02)00369-8
  8. Eren S, Kantarci M, Okur A. Imaging of diaphragmatic rupture after trauma. Clin Radiol 2006;61:467-77. https://doi.org/10.1016/j.crad.2006.02.006

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