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J Minim Access Surg. 2015 Apr-Jun;11(2):149-50. doi: 10.4103/0972-9941.144099.

Combination injuries of diaphragm and urinary bladder resulting urinothorax.

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Department of General Surgery, Southern Railway Head Quarters Hospital, Chennai, Tamil Nadu, India.


Isolated diaphragmatic or urinary bladder injuries are uncommon, but rare are combination of these injuries. We report a rare case of urinothorax occurred as a result of combination injury of diaphragm and urinary bladder and our successful laparoscopic only management. A 26-year-old male presented with a history of trauma and features suggestive of bilateral pleural effusion. Radiological investigations revealed diaphragmatic and urinary bladder rupture. Laparoscopic examination of the abdomen confirmed the presence of ruptures and successful repair of both defects were done laparoscopically. High index of suspicion and early diagnosis are crucial for a better outcome in the management of diaphragmatic rupture. Laparoscopic management is a feasible and successful method in trained hands.


Blunt trauma; diaphragmatic rupture; laparoscopic management; urinary bladder rupture; urinothorax

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