• Hernia · Mar 2005

    Case Reports

    Late bilateral diaphragmatic rupture: challenging diagnostic and surgical repair.

    • H Sirbu, T Busch, J Spillner, A Schachtrupp, and R Autschbach.
    • Department of Thoracic, Heart and Vascular Surgery, RWTH Aachen, Pauwelsstr. 30, 52075 Aachen, Germany. Horia.Sirbu@post.rwth-aachen.de
    • Hernia. 2005 Mar 1; 9 (1): 90-2.

    AbstractA 67-year-old man was referred to our department, after a vehicle accident, with multiple bone fractures and a left blunt diaphragmatic rupture. An emergency laparatomy was performed, and the left diaphragmatic defect directly sutured. Postoperatively, a delayed right diaphragmatic rupture occurred due to progressive inflammation and muscle devitalisation. The diagnosis was challenging because the right rupture became clinically evident later after extubation. Diaphragmatic reconstruction was performed through a right thoracotomy. A high index of suspicion should always be observed for missed or delayed bilateral diaphragmatic ruptures.

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