Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature
<p>Abstract</p> <p>Background</p> <p>Diaphragmatic rupture after blunt abdominal injury is a rare trauma condition. Delayed diagnosis is not uncommon especially in the emergency room setting. Associated injuries often shift diagnosis and treatment priorities towards oth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-07-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | http://www.wjes.org/content/7/1/20 |
| _version_ | 1819058575439298560 |
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| author | Symeonidis Dimitrios Spyridakis Michail Koukoulis Georgios Christodoulidis Grigorios Mamaloudis Ioannis Tepetes Konstantinos |
| author_facet | Symeonidis Dimitrios Spyridakis Michail Koukoulis Georgios Christodoulidis Grigorios Mamaloudis Ioannis Tepetes Konstantinos |
| author_sort | Symeonidis Dimitrios |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Diaphragmatic rupture after blunt abdominal injury is a rare trauma condition. Delayed diagnosis is not uncommon especially in the emergency room setting. Associated injuries often shift diagnosis and treatment priorities towards other more life-threatening conditions.</p> <p>Case presentation</p> <p>We present a challenging case of a young male with combined abdominal and head trauma. Repeated episodes of vomiting dominated on clinical presentation that in the presence of a deep scalp laceration and facial bruising shifted differential diagnosis towards a traumatic brain injury. However, a computed tomography scan of the brain ruled out any intracranial pathology. Finally, a more meticulous investigation with additional imaging studies confirmed the presence of diaphragmatic rupture that justified the clinical symptoms.</p> <p>Conclusions</p> <p>The combination of diaphragmatic rupture with head injury creates a challenging trauma scenario. Increased level of suspicion is essential in order to diagnose timely diaphragmatic rupture in multiple trauma patients.</p> |
| first_indexed | 2024-12-21T13:57:23Z |
| format | Article |
| id | doaj.art-264f540c297a4ba3993b587b03dc50ad |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-21T13:57:23Z |
| publishDate | 2012-07-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-264f540c297a4ba3993b587b03dc50ad2022-12-21T19:01:29ZengBMCWorld Journal of Emergency Surgery1749-79222012-07-01712010.1186/1749-7922-7-20Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literatureSymeonidis DimitriosSpyridakis MichailKoukoulis GeorgiosChristodoulidis GrigoriosMamaloudis IoannisTepetes Konstantinos<p>Abstract</p> <p>Background</p> <p>Diaphragmatic rupture after blunt abdominal injury is a rare trauma condition. Delayed diagnosis is not uncommon especially in the emergency room setting. Associated injuries often shift diagnosis and treatment priorities towards other more life-threatening conditions.</p> <p>Case presentation</p> <p>We present a challenging case of a young male with combined abdominal and head trauma. Repeated episodes of vomiting dominated on clinical presentation that in the presence of a deep scalp laceration and facial bruising shifted differential diagnosis towards a traumatic brain injury. However, a computed tomography scan of the brain ruled out any intracranial pathology. Finally, a more meticulous investigation with additional imaging studies confirmed the presence of diaphragmatic rupture that justified the clinical symptoms.</p> <p>Conclusions</p> <p>The combination of diaphragmatic rupture with head injury creates a challenging trauma scenario. Increased level of suspicion is essential in order to diagnose timely diaphragmatic rupture in multiple trauma patients.</p>http://www.wjes.org/content/7/1/20Abdominal traumaDiaphragmatic ruptureMultiple traumaMotor vehicle accidentEmergency Surgery |
| spellingShingle | Symeonidis Dimitrios Spyridakis Michail Koukoulis Georgios Christodoulidis Grigorios Mamaloudis Ioannis Tepetes Konstantinos Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature World Journal of Emergency Surgery Abdominal trauma Diaphragmatic rupture Multiple trauma Motor vehicle accident Emergency Surgery |
| title | Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature |
| title_full | Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature |
| title_fullStr | Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature |
| title_full_unstemmed | Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature |
| title_short | Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature |
| title_sort | diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient a case report and review of the literature |
| topic | Abdominal trauma Diaphragmatic rupture Multiple trauma Motor vehicle accident Emergency Surgery |
| url | http://www.wjes.org/content/7/1/20 |
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