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  • Melbourne Medical School
  • Surgery (Austin & Northern Health)
  • Surgery (Austin & Northern Health) - Research Publications
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    Traumatic rupture of the diaphragm resulting in the sub-acute presentation of an incarcerated intra-thoracic transverse colon

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    Author
    Kunz, S; Goh, SK; Stelmach, W; Seevanayagam, S
    Date
    2017-03-01
    Source Title
    Journal of Surgical Case Reports
    Publisher
    OXFORD UNIV PRESS
    University of Melbourne Author/s
    Goh, Su Kah
    Affiliation
    Surgery (Austin & Northern Health)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Kunz, S., Goh, S. K., Stelmach, W. & Seevanayagam, S. (2017). Traumatic rupture of the diaphragm resulting in the sub-acute presentation of an incarcerated intra-thoracic transverse colon. JOURNAL OF SURGICAL CASE REPORTS, 2017 (3), https://doi.org/10.1093/jscr/rjx057.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/256300
    DOI
    10.1093/jscr/rjx057
    Abstract
    The traumatic rupture of the diaphragm after blunt or penetrating injuries is a well described but uncommon entity. Its presentation in the form of herniated abdominal contents into the thoracic cavity is generally obscure and the recognition of this condition is often challenging. Although many cases remain asymptomatic, significant morbidity and mortality ensues with patients who present with incarceration, strangulation and eventual visceral compromise. Definitive guidelines in the management of traumatic diaphragmatic injuries are still lacking. This report outlines a case of sub-acute presentation of a traumatic diaphragmatic rupture in an elderly female following a motor vehicle accident that required urgent surgical intervention. We reviewed the pertinent literature, with an emphasis on the operative approach and the type of repair of the traumatic diaphragmatic defect.

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