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- Audrey Prayal-Brown, Mohamed S Eissa, Peter Tryphonopoulos, Hesham F Talab, and Colleen M McFaul.
- From the Department of Anesthesia and Pain Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
- A A Pract. 2021 Jan 6; 15 (1): e01366.
AbstractPoint-of-care ultrasound (PoCUS) is a sensitive and specific tool in early identification of malignant pathologies in unstable patients leading to improved outcomes. Postoperative diaphragmatic rupture is rare, can be life-threatening, and is difficult to diagnose. This report describes a 62-year-old women undergoing thoracoscopic right hemidiaphragm plication with acute postoperative hemodynamic instability. Bedside PoCUS identified hepatic herniation into the thorax causing cardiac compression and lateral displacement, which lead to expedited imaging and surgical reexploration.Copyright © 2021 International Anesthesia Research Society.
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