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Ulus Travma Acil Cerrahi Derg. 2014 Nov;20(6):463-5. doi: 10.5505/tjtes.2014.27547.

Right ventricle collapse secondary to hepatothorax caused by diaphragm rupture due to blunt trauma.

Author information

1
Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey. mtpuz@hotmail.com.
2
Department of General Surgery, Turhal State Hospital, Tokat, Turkey.

Abstract

Traumatic diaphragm ruptures occur frequently after motor vehicle accidents through penetrating traumas. In 90% of the patients, traumatic diaphragm rupture commonly coexists with other organ injuries. Posteroanterior chest x-ray, computed tomography, magnetic resonance imaging, upper gastrointestinal system contrast-enhanced examinations, and thoraxoscopy/laparoscopy are several modalities which can be used for diagnosing traumatic diaphragm rupture in clinical practice. A case of right ventricle collapse secondary to hepatothorax caused by diaphragm rupture was presented in this study. Patient was diagnosed by posteroanterior chest x-ray and computed tomography. Emergency surgery was planned due to hemodynamic instability. When mechanical pressure on the right ventricle disappeared, hemodynamic improvement was observed simultaneously.

PMID:
25541929
[Indexed for MEDLINE]
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