Autor(es): Alves, D ; Sousa, J ; Eurico Reis, J ; Ribeiro, R ; Calvinho, P
Data: 2023
Identificador Persistente: http://hdl.handle.net/10400.17/4643
Origem: Repositório do Centro Hospitalar de Lisboa Central, EPE
Assunto(s): HSM CCT; Blunt Chest Injuries; Blunt Thoracic Trauma; Diaphragmatic Rupture; Emergency Thoracotomy; Explorative Laparotomy; Hemopneumothorax; High Energy Trauma; Osteosynthesis; Surgical Fixation Devices; Traumatic Diaphragmatic Rupture
Traumatic diaphragmatic ruptures are rare, yet blunt injuries tend to be more easily overlooked compared to penetrating trauma. The minimal evidence of external injuries makes a high index of suspicion key for diagnosis. We report the case of a right-sided thoracoabdominal blunt trauma that resulted in a diaphragmatic rupture and fractured rib. Although often approached through a midline laparotomy, a definitive right thoracotomy repair was exceptionally performed since the adjacent peritoneum remained uninjured.
