INTRODUCTION Rupture of the diaphragm is almost always due to major trauma. Diaphragmatic injuries are rare (5-7%), usually secondary to blunt, or more rarely to penetrating, thoracic or abdominal trauma. No single investigation provides a reliable diagnosis of diaphragmatic rupture when a patient first arrives at hospital. Almost 33% are suspected on initial chest x-ray, but the percentage is ...

Background: The diaphragm is a dome-shaped respiratory muscle located near the lower ribs, exact location below chest. Diaphragmatic rupture medical condition caused by blunt or penetrating trauma, which often leads to herniation of abdominal viscera into thoracic cavity.
 Case: We presented case in 39-year-old man complained left chest pain and radiated his back, after involed traffic acc...

Left ventricular pseudoaneurysms (LVPs) occur as a complication of myocardial infarction, cardiac surgery and, rarely, due to thoracic trauma, infective pericarditis or iatrogenisis due to accidental perforation of the myocardium. Ventricular pseudoaneurysms are acquired by blood-filled spaces outside the cardiac chambers communicating with the ventricle. We present a case of LVP presented afte...

We reported a young male with knife assault to his chest. He was transferred to the hospital without manipulating the knife. He was completely conscious and had sinus tachycardia and regular breathing. Emergency thoracotomy was performed and the knife was removed. No organ was damaged. This case presentation showed that in this kind of trauma, it is mandatory not to manipulate the penetrating f...

The authors report the case of a suicide attempt. A 59-year-old man with self-inflicted penetrating chest trauma underwent emergency cardiothoracic surgery. Pre-operative computed tomography scan showed critical proximity between the blade and the right ventricle. Intraoperative findings showed a pericardial laceration and a huge diaphragmatic lesion with heart and abdominal organs integrity. T...

For a select group of patients with penetrating chest trauma, immediate thoracotomy in the accident and emergency department offers the only chance of survival. Foley catheters have been used to achieve haemostasis in cardiac wounds but are not widely used for intracardiac fluid and drug administration during resuscitation. In an anatomical model designed to assess this procedure an average flo...

We report a rare case of a 40-year-old man who had suffered from a metallic foreign body which had punctured from the anterior chest wall into the left ventricle caused by trauma without cardiac tamponade. Surgery was performed. Based on the operation findings, the foreign body was diagnosed as a metallic rusted object partially retained in the posterior papillary muscle. It is very rare partic...

Benign acquired tracheo-oesophageal fistula is an uncommon lesion. Trauma and infection have been the most common causes noted in several series.' -3 Traumatic causes include oesophagoscopy or bronchoscopy; complications of tracheostomy; and blunt, crushing, or penetrating injuries to the neck or chest. Foreign body ingestion or aspiration and lye ingestion are other reported causes.4 We have r...

Penetrating trauma to the chest leading to coronary artery injury is associated with a high mortality rate, especially in the case of injury to the left anterior descending (LAD) coronary artery. The mortality rate remains high whether they are managed with primary ligation or with coronary artery bypass grafting using conventional cardiopulmonary bypass techniques. We report a case of proximal...