Occult diaphramatic injury in penetrating trauma:a diagnostic challenge

被引：0

作者：

Sohil Pothiawala ^{[1
,2
]}

机构：

[1] Trauma and Emergency Services,Auckland City Hospital

[2] Department of Emergency

来源：

Emergency and Critical Care Medicine | 2023年 / 3卷 / 01期

关键词：

D O I：

暂无

中图分类号：

R655 [胸部外科学];

学科分类号：

摘要：

Diaphragmatic injuries in penetrating trauma are occult and may be easily missed.Common signs of diaphragmatic injury on computed tomography scan include discontinuous and/or dangling diaphragm sign,thickened diaphragm,organ herniation,collar sign,associated rib fracture,and contiguous injury on either side of the diaphragm.The detection of these signs varies based on the mechanism of injury,that is,penetrating versus blunt injury.Surgical management of an unstable patient with penetrating trauma and diaphragmatic injury is exploratory laparotomy,while laparoscopy is an alternate option in hemodynamically stable patients.A high level of suspicion is required to avoid missing this occult diagnosis and its associated complications.

引用

页码：41 / 42

页数：2

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