Diaphragmatic Laceration Following Penetrating Thoracic Trauma

Heping Huang1*, Qianlun Huo1, Jianzhong Ma2 and Zhengwu Zhou2

1Department of Cardiothoracic Surgery, The Lu’an Affiliated Hospital, Anhui Medical University, China
2Department of Emergency Surgery, The Lu’an Affiliated Hospital, Anhui Medical University, China

^*Correspondance to: Heping Huang 

 PDF  Full Text DOI: 10.25107/2474-1647.2742

Abstract

Background: The management of diaphragmatic laceration and penetrating thoracic trauma represents a major challenge for emergency department staff, which is easily delayed and missed on initial assessment and diagnosis in a limited timeframe. Therefore, it is obviously difficult to diagnose diaphragmatic rupture promptly and accurately in the setting of penetration injury. Case Presentation: We reported the patient, a 33-year-old man with consciousness, was stabbed in his back dorsal region paravertebrally. The patient underwent the prompt exploratory thoracotomy, intraoperative findings revealed a diaphragmatic laceration with acute bleeding. He was discharged on postoperative day 7 without any complications. Conclusion: There should be a low threshold for performing exploratory procedures when cases are highly suspicious for diaphragmatic injuries following penetrating thoracic trauma.

Keywords

Diaphragmatic laceration; Penetrating thoracic trauma; Diaphragmatic repair; Stab wound

Cite the article

Huang H, Huo Q, Ma J, Zhou Z. Diaphragmatic Laceration Following Penetrating Thoracic Trauma. Clin Surg. 2020; 5: 2742..