Traumatic diaphragm rupture treated with left anterolateral thoracotomy approach: a case report

Background: Traumatic diaphragmatic rupture (TDR) is a life-threatening condition due to the herniation of abdominal organs into pleural cavities. Rupture can occur in patients with major blunt or penetration trauma lower chest. Blunt TDR usually caused by momentary high energy damage and associated severe trauma. This study aims evaluate our hospital's experience managing TDR, including its incidence, modes diagnosis, operative treatments, postoperative outcomes, factors predictive patient outcomes. Case Report: A 44 years old man was referred hospital complaining dyspnea. Eleven hours before his admission, he riding motorcycle, fell road, hit tree on left After accident, feels dyspnea, chest pain, pain. The brought nearest underwent x-ray tube insertion, initial production blood 1700 ml. On examination, there an increased respiratory rate, visible bruise posteroinferior near flank pre-installed thoracostomy Chest showed intrathoracic viscera, "collar sign" appeared, abdomen upper quadrant organ displaced thorax cavity. Thus suspected, underlying this patient. We decided perform anterolateral thoracotomy continued laparotomy splenectomy Conclusion: rare case. may include shearing stretched diaphragm, avulsion from muscular insertion point, pressure exceeding bursting diaphragm. Intra-abdominal injuries are more common than injuries. Initial approaches were thoracotomy.