Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes

Avulsion injuries of domes of the diaphragm are rare injuries and may occur following lateral thoracoabdominal trauma. We share our experience of two cases of avulsion injuries of the right dome of the diaphragm. Our first case presented within a week following blunt trauma to the abdomen, and on th...

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Main Authors: Nupur Aggarwal, Priyansh Jariwala, Shaban Kamal, Navneet Kaur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Nigerian Journal of Surgery
Subjects:
Online Access:http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=223;epage=225;aulast=
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author Nupur Aggarwal
Priyansh Jariwala
Shaban Kamal
Navneet Kaur
author_facet Nupur Aggarwal
Priyansh Jariwala
Shaban Kamal
Navneet Kaur
author_sort Nupur Aggarwal
collection DOAJ
description Avulsion injuries of domes of the diaphragm are rare injuries and may occur following lateral thoracoabdominal trauma. We share our experience of two cases of avulsion injuries of the right dome of the diaphragm. Our first case presented within a week following blunt trauma to the abdomen, and on thoracotomy, an effective repair was performed by restoring attachment of the diaphragm to the parietes. Our second case presented with severe respiratory distress, 1½ months after sustaining blunt injury chest and abdomen in a road traffic accident and on thoracotomy was found to have a completely necrosed right hemidiaphragm, and hence, no repair could be performed. However, the patient could not be weaned off ventilator and died after 3 months of primary injury. These cases highlight the importance of early diagnosis and repair of diaphragmatic injuries for a favorable outcome.
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spelling doaj.art-249df72ff5b94dd987e178abe07c2e8c2022-12-21T19:11:16ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062019-01-0125222322510.4103/njs.NJS_41_18Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomesNupur AggarwalPriyansh JariwalaShaban KamalNavneet KaurAvulsion injuries of domes of the diaphragm are rare injuries and may occur following lateral thoracoabdominal trauma. We share our experience of two cases of avulsion injuries of the right dome of the diaphragm. Our first case presented within a week following blunt trauma to the abdomen, and on thoracotomy, an effective repair was performed by restoring attachment of the diaphragm to the parietes. Our second case presented with severe respiratory distress, 1½ months after sustaining blunt injury chest and abdomen in a road traffic accident and on thoracotomy was found to have a completely necrosed right hemidiaphragm, and hence, no repair could be performed. However, the patient could not be weaned off ventilator and died after 3 months of primary injury. These cases highlight the importance of early diagnosis and repair of diaphragmatic injuries for a favorable outcome.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=223;epage=225;aulast=Avulsiondiaphragmatic injuryright hemidiaphragmtrauma
spellingShingle Nupur Aggarwal
Priyansh Jariwala
Shaban Kamal
Navneet Kaur
Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
Nigerian Journal of Surgery
Avulsion
diaphragmatic injury
right hemidiaphragm
trauma
title Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
title_full Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
title_fullStr Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
title_full_unstemmed Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
title_short Avulsion injuries of right hemidiaphragm: Report of two case scenarios with different outcomes
title_sort avulsion injuries of right hemidiaphragm report of two case scenarios with different outcomes
topic Avulsion
diaphragmatic injury
right hemidiaphragm
trauma
url http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=223;epage=225;aulast=
work_keys_str_mv AT nupuraggarwal avulsioninjuriesofrighthemidiaphragmreportoftwocasescenarioswithdifferentoutcomes
AT priyanshjariwala avulsioninjuriesofrighthemidiaphragmreportoftwocasescenarioswithdifferentoutcomes
AT shabankamal avulsioninjuriesofrighthemidiaphragmreportoftwocasescenarioswithdifferentoutcomes
AT navneetkaur avulsioninjuriesofrighthemidiaphragmreportoftwocasescenarioswithdifferentoutcomes