A CASE OF LEFT TRAUMATIC DIAPHRAGMATIC RUPTURE

  • PARK Youngjin
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • WAKABAYASHI Miyoji
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • UEDA Tetsuro
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • HATANO Yoshinori
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • KOIDE Kazuki
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • HARA Akio
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • NAKAMURA Junya
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • HASEBE Yukitake
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • TOKUHIRO Keiichi
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • OZAWA Tetsuro
    Department of Surgery, Sakura Hospital of Toho University School of Medicine
  • YAMAGUCHI Muneyuki
    Department of Surgery, Sakura Hospital of Toho University School of Medicine

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Other Title
  • 外傷性横隔膜破裂の1例

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Abstract

In this paper, a case of left traumatic diaphragmatic rupture due to a traffic accident is described.<br> A 39-year-old man was injured in a traffic accident was seen at the hospital. The chest X-ray examination showed fractures of the left ribs (4th, 5th and 6th), left lung contusion and an abnormal gas finding which protruded to the thoracic cavity. Left traumatic diaphragmatic rupture was suspected and the gastrography with gastric tube was performed. The gastric tube was inserted in the abnormal gas finding and then the gastrography demonstrated gastric plicae.<br> With the definite diagnosis of left traumatic diaphragmatic rupture, an emergency operation was performed with a complete closure of the ruptured diaphragma.<br> Though traumatic diaphragmatic rupture is a rare entity, we should entertain it as a possible diagnosis and observe closely the clinical course in a recent background factor that chest injuries due to traffic accident have been increasing.

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