5,577 results match your criteria Diaphragmatic Injuries


Missed injuries in trauma patients: the value of a diagnostic thoracotomy or thoracoscopy during surgical stabilisation of rib fractures.

Ir J Med Sci 2021 Jun 5. Epub 2021 Jun 5.

Department of Surgery, MST - Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, Netherlands.

Purpose: Over the last decade Surgical Stabilisation of Rib Fractures (SSFR) gained popularity in our hospital. With increased numbers, we noted that frequently injuries were missed during primary/secondary survey and radiological imaging that were found during the surgical procedure. With this observation, the research question was formulated: What is the value of diagnostics thoracotomy or thoracoscopy during surgical stabilisation of rib fractures?

Methods: In a single-centre, retrospective study between February 2010 and December 2019, trauma patients who underwent Surgical Stabilisation of Rib Fractures (SSFR) and an inspection thoracotomy were included. Read More

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Transgastric repair of transfixing gastroesophageal junction gunshot wound: video case report.

J Surg Case Rep 2021 May 21;2021(5):rjab160. Epub 2021 May 21.

Surgery Department, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile.

Managing traumatic injuries of the gastroesophageal junction (GEJ) is infrequent due to associated lesions of adjacent highly vascularized organs. Its anatomical localization in the upper abdomen makes the repair challenging to perform. A stable 23-year-old male was presented at the emergency department with two thorax gunshot wounds. Read More

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Post-traumatic diaphragmatic rupture with pericardial denudation: A case report.

Int J Surg Case Rep 2021 May 15;83:105970. Epub 2021 May 15.

Visceral Surgery Emergency Department 35, University hospital center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan 2 university, Casablanca, Morocco.

Introduction: Post-traumatic diaphragmatic rupture is a lesion of variable severity. It is a rare and difficult to diagnose pathology, it has been found in 0.4% of all traumatized patients and in 1. Read More

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Posttraumatic bronchobiliary fistulae due to foreign body remnants after  a road traffic injury: a case report.

J Med Case Rep 2021 May 22;15(1):291. Epub 2021 May 22.

Colorectal Research Center, Department of Surgery, Shiraz University of Medical Sciences, Zand Avenue, P.O. Box 71345-1744, Shiraz, Iran.

Background: Bronchobiliary fistula is an extremely rare disease that involves abnormal communication between a hepatic segment and bronchial tree. It is mostly caused by untreated hydatid cyst, liver abscess, iatrogenic stenosis, and, rarely, trauma.

Case Presentation: We experienced an extremely rare case of bronchobiliary fistula after motor vehicle accident. Read More

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Model-Based Optimization of Spinal Cord Stimulation for Inspiratory Muscle Activation.

Neuromodulation 2021 May 14. Epub 2021 May 14.

Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.

Objective: High-frequency spinal cord stimulation (HF-SCS) is a potential method to provide natural and effective inspiratory muscle pacing in patients with ventilator-dependent spinal cord injuries. Experimental data have demonstrated that HF-SCS elicits physiological activation of the diaphragm and inspiratory intercostal muscles via spinal cord pathways. However, the activation thresholds, extent of activation, and optimal electrode configurations (i. Read More

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Pulsed field ablation selectively spares the oesophagus during pulmonary vein isolation for atrial fibrillation.

Europace 2021 May 7. Epub 2021 May 7.

IHU LIRYC-CHU Bordeaux, Univ. Bordeaux, Inserm U1045, Avenue du Haut Lévêque, 33604 Pessac, France.

Aims: Extra-atrial injury can cause complications after catheter ablation for atrial fibrillation (AF). Pulsed field ablation (PFA) has generated preclinical data suggesting that it selectively targets the myocardium. We sought to characterize extra-atrial injuries after pulmonary vein isolation (PVI) between PFA and thermal ablation methods. Read More

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Approach to Traumatic Diaphragm Injuries: Single Center Experience.

J Acute Med 2021 Mar;11(1):18-21

Konya Meram Education Research Hospital Department of Chest Disease Konya Turkey.

Background: Traumatic diaphragm injuries are rare. After blunt trauma, injuries occur with a 1-7% rate. This rate increases up to 15% in penetrating injuries. Read More

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A bizarre case of fatal main renal artery partial laceration without primary kidney injury due to a single stab wound in the chest.

Leg Med (Tokyo) 2021 Jul 20;51:101892. Epub 2021 Apr 20.

Dipartimento di Area Medica, Medicina Legale, Università degli Studi di Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy. Electronic address:

Reno-vascular injuries are a rare type of renal injury, and their second most frequent cause is penetrating wounds. The majority of the reports and of the studies are present in the urological and radiological literature and they focus on the clinical approach to such injuries. In the case here presented, an 18-year-old male died after being stabbed in the left hemithorax. Read More

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Hepatic Trauma Interventions.

Semin Intervent Radiol 2021 Mar 15;38(1):96-104. Epub 2021 Apr 15.

Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.

The liver is the second most commonly involved solid organ (after spleen) to be injured in blunt abdominal trauma, but liver injury is the most common cause of death in such trauma. In patients with significant blunt abdominal injury, the liver is involved approximately 35 to 45% of the time. Its large size also makes it a vulnerable organ, commonly injured in penetrating trauma. Read More

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Unusual Complication of Intercostal Tube Drainage of Penetrating Chest Injury: A Case Report.

Cureus 2021 Mar 10;13(3):e13813. Epub 2021 Mar 10.

General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Penetrating chest injuries can lead to diaphragmatic injuries, which are often missed easily on initial assessments, especially in patients with polytrauma. We are usually more focused and biased towards other evident, immediately life-threatening injuries. The fact that clinical and radiological findings are subtle, especially on chest X-rays, which is sometimes the only investigation performed, highlights the importance of using higher imaging modalities in stable patients and that a clinician should be suspicious of this entity with the corresponding history. Read More

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[Mechanism of blunt spleen injury: a finite element analysis].

Nan Fang Yi Ke Da Xue Xue Bao 2021 Mar;41(3):430-438

School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Objective: To explore the biomechanical mechanism of blunt spleen injury based on finite element analysis.

Objective: A fist finite element model was used to simulate the impact at 4-8 m/s in the spleen area of THUMS4.0 human body model from the front of the left costal area, the left anterior axillary line and the rear scapular line. Read More

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Strategies for successful implementation of resuscitative endovascular balloon occlusion of the aorta (REBOA) in an urban Level I trauma center.

J Trauma Acute Care Surg 2021 Mar 27. Epub 2021 Mar 27.

University of Colorado School of Medicine University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center University of Colorado School of Medicine University of Colorado School of Medicine University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine.

Background: The rationale for Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is to control life-threatening sub-diaphragmatic bleeding and facilitate resuscitation, however, incorporating this into the resuscitative practices of a trauma service remains challenging. The objective of this study is to describe the process of successful implementation of REBOA use in an academic urban level I trauma center. All REBOA procedures from April 2014 through December 2019 were evaluated; REBOA was implemented after surgical faculty attended a required and internally developed Advanced Endovascular Strategies for Trauma Surgeons course (AESTS). Read More

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Acute Diaphragmatic Injuries Associated with Traumatic Rib Fractures: Experiences of a Major Trauma Centre and the Importance of Intra-Pleural Assessment.

J Chest Surg 2021 Feb;54(1):59-64

Department of Cardiothoracic Surgery, St. George's Hospital, London, UK.

Background: Diaphragmatic injuries following blunt or penetrating thoraco-abdominal trauma are rare, but can be life-threatening. Rib fractures are the most common associated injury in patients with a traumatic diaphragmatic injury (TDI). We hypothesized that the pattern of rib fracture injuries could dictate the likelihood of acute TDIs. Read More

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February 2021

Surgical management of traumatic diaphragmatic hernia: a single institutional experience of more than two decades.

BMC Surg 2021 Mar 19;21(1):142. Epub 2021 Mar 19.

Department of Cardiothoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.

Background: We present here our experience with surgical management of traumatic diaphragmatic hernia, trying to find out the era impact of different periods on the outcome and risk factors of mortality.

Methods: A series of 63 patients with traumatic diaphragmatic hernia were referred to us and operated on during March, 1990-August, 2017. The patient records were reviewed and statistically analyzed to demonstrate injury characteristics and to find out optimal treatment strategy, risk factors of death as well as the difference between two periods (1990-2005, 2005-2017) divided by introduction of computed tomography at our institution. Read More

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Catamenial pneumothorax with partial liver herniation due to diaphragmatic laceration: a case report and literature review.

J Cardiothorac Surg 2021 Mar 17;16(1):23. Epub 2021 Mar 17.

Division of Thoracic Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nihi-shinbashi, Minato-ku, Tokyo, Japan.

Background: Catamenial pneumothorax is generally uncommon, with an incidence of less than 3-6% in women with spontaneous pneumothorax. As few cases of catamenial pneumothorax with diaphragmatic defect and liver herniation have been reported, this case report may be useful for understanding the cause and treatment. This case highlights the importance of the approach for liver hernia in patients with catamenial pneumothorax and endometriosis. Read More

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Penetrating Thoracoabdominal Trauma With a Cryptic Diaphragmatic Injury in a 23-Year-Old Male.

Cureus 2021 Feb 3;13(2):e13102. Epub 2021 Feb 3.

Surgery, West Virginia University, Martinsburg, USA.

Traumatic diaphragmatic injuries are a rare entity and can occur in relation to penetrating thoracic and abdominal trauma. The most common clinical features of diaphragm rupture include chest or abdominal bruising, decreased breath sounds, and signs of bowel obstruction. However, the classic signs and symptoms of diaphragmatic injury are not always present and can be obscured even in the highest resolution imaging. Read More

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February 2021

Clavicle fractures: Associated trauma and morbidity.

J Clin Orthop Trauma 2021 Feb 26;13:53-56. Epub 2020 Aug 26.

Rutgers New Jersey Medical School Department of Orthopaedics, 140 Bergen Street, ACC D1610, Newark, NJ, 07103, United States.

Background: Clavicle fractures are frequently associated with trauma to regions beyond the immediate zone of injury. In order to provide surgeons with information on injury prevalence to prevent delays in diagnosis and management, we describe the epidemiology of concomitant injuries in patients with clavicle fractures and identify differences between those with open and closed fractures. Methods:The Nationwide Inpatient Sample (NIS) 2001-2013 database was queried for adult patients discharged with a diagnosis of a clavicle fracture using ICD-9 codes. Read More

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February 2021

Cervical erector spinae plane block as a perioperative analgesia method for shoulder arthroscopy: a case series.

J Anesth 2021 Jun 8;35(3):446-450. Epub 2021 Mar 8.

Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.

Shoulder arthroscopy, a common intervention for severe rotator cuff injuries, is associated with severe postoperative pain. Upon performing cervical erector spinae plane (ESP) blocks at the C7 TP (tip or posterior tip) or the posterior tip of the C6 TP posterior tubercle in six patients undergoing shoulder arthroscopy, sensory block was detectable in congruent cervico-thoracic dermatomes. Effective intraoperative and postoperative analgesia were consistently obtained for all six patients. Read More

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Diaphragmatic Hernia after Radiofrequency Ablation.

Diagnostics (Basel) 2021 Feb 14;11(2). Epub 2021 Feb 14.

Department of Gastroenterology and Neurology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe Miki-cho, Kita-gun, Kagawa 761-0793, Japan.

Diaphragmatic hernia (DH) is a defect, which can be congenital or can develop later in life. Moreover, chromosomal and genetic abnormalities, environmental exposures, and nutritional deficiencies may be related to the development of congenital DH. In contrast, the risk factors of acquired DH include traumas, such as blunt injuries due to traffic accidents and surgical procedures. Read More

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February 2021

Effects of diaphragm muscle treatment in shoulder pain and mobility in subjects with rotator cuff injuries: A dataset derived from a pilot clinical trial.

Data Brief 2021 Apr 12;35:106867. Epub 2021 Feb 12.

Spanish Society of Pneumology and Thoracic Surgery (SEPAR) Youth Commitee, 08029 Barcelona, Spain.

The rotator cuff inflammatory or degenerative pathology is the main cause of shoulder pain. The shoulder and diaphragm muscle have a clear relation through innervation and the connection through myofascial tissue. A prospective, randomized, controlled, single-blind (assessor) pilot clinical trial was performed with a sample size of 27 subjects with rotator cuff injuries and with clinical diagnosis of myofascial pain syndrome at shoulder. Read More

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Malignant hyperthermia in a 16-day-old infant with congenital diaphragmatic hernia: a case report.

J Anesth 2021 04 24;35(2):311-314. Epub 2021 Feb 24.

Department of Anesthesiology, Hiroshima Prefectural Rehabilitation Center, Higashi-Hiroshima, 739-0036, Japan.

Malignant hyperthermia (MH) is a severe hypermetabolic disorder associated with dysregulation of calcium homeostasis and is triggered by inhalational anesthetics (isoflurane, sevoflurane, desflurane) and a depolarizing muscle relaxant (succinylcholine). We report the case of a 16-day-old infant undergoing laparoscopic surgery. The patient developed hyperthermia and hypercarbia with muscle rigidity. Read More

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Delayed massive haemothorax following thoracic trauma.

Tidsskr Nor Laegeforen 2021 02 17;141(3). Epub 2021 Feb 17.

Background: Most cases of thoracic injury are the result of minor trauma, treated out of hospital. Approximately 10 % of patients with minor thoracic trauma develop delayed haemothorax, with risk of fibrosis and empyema. Traumatic diaphragmatic injury following blunt trauma can be difficult to diagnose, and is a rare condition associated with high-energy trauma. Read More

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February 2021

J-incision to approach the cranial abdomen in the adult horse.

Vet Surg 2021 Apr 24;50(3):600-606. Epub 2021 Feb 24.

Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA.

Objective: To describe a modified celiotomy to improve access to cranial abdominal structures in horses.

Animals: Four horses.

Study Design: Short case series. Read More

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A Gardening Session Turns Into a Life Threatening Aortic Transection.

EJVES Vasc Forum 2021 13;50:28-31. Epub 2021 Jan 13.

Department of Vascular Surgery, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.

Introduction: Penetrating injuries to the sub-diaphragmatic aorta are challenging, with high mortality rates. Most penetrating aortic trauma results from gunshots or stab wounds. This case reports a successful aortic bypass, following partial aortic transection caused by an accidental fall on a utility knife. Read More

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January 2021

Anaesthetic management in a patient requiring one lung ventilation during COVID-19 pandemic.

BMJ Case Rep 2021 Feb 17;14(2). Epub 2021 Feb 17.

Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

Placement of a double-lumen tube to achieve one lung ventilation is an aerosol-generating procedure. Performing it on a patient with COVID-19 will put healthcare workers at high risk of contracting the disease. We herein report a case of its use in a patient with traumatic diaphragmatic rupture, who was also suspected to have COVID-19. Read More

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February 2021

Grave thoraco-intestinal complication secondary to an undetected traumatic rupture of the diaphragm: a case report.

Eur J Med Res 2021 Feb 8;26(1):19. Epub 2021 Feb 8.

Department of General and Visceral Surgery, University Hospital OWL of the University Bielefeld, campus Bielefeld-Bethel, Bielefeld, Germany.

Background: Diaphragmatic lesions as a result of blunt or penetrating trauma are challenging to detect in the initial trauma setting. This is especially true when diaphragmatic trauma is part of a polytrauma. Complications of undetected diaphragmatic defects with incarcerating bowel are rare, but as in our patient can be serious. Read More

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February 2021

Chronic respiratory dysfunction due to diaphragmatic paralysis following penetrating neck trauma: A case report.

Medicine (Baltimore) 2021 Jan;100(4):e24043

Department of Critical Care Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Respiratory dysfunction resulting from unilateral diaphragmatic paralysis during neck trauma is very rare in adults. We describe the symptoms, diagnosis and treatment of 1 patient with chronic respiratory insufficiency, in whom the diaphragmatic paralysis was associated with phrenic nerve injury due to penetrating neck trauma.

Patient Concerns: A 50-year-old worker was admitted because of left penetrating neck trauma. Read More

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January 2021

Optimal Initial Positioning of Chest Tubes to Prevent Retained Hemothorax Using a Novel Steerable Chest Tube With Extendable Infusion Cannula.

Mil Med 2021 01;186(Suppl 1):324-330

Sim*Vivo, LLC, Naples, FL 34110, USA.

Introduction: With blunt and penetrating trauma to the chest, warfighters and civilians frequently suffer from punctured lung (pneumothorax) and/or bleeding into the pleural space (hemothorax). Optimal management of this condition requires the rapid placement of a chest tube to evacuate as much of the blood and air as possible. Incomplete drainage of blood leading to retained hemothorax may be the result of the final tube tip position not being in contact with the blood collections. Read More

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January 2021

A Recreational Fishing Death Due to a Jumping Spanish Mackerel (Scomberomorus commerson).

Am J Forensic Med Pathol 2021 Jan 22. Epub 2021 Jan 22.

From the Forensic Pathology Unit, Royal Darwin Hospital, Darwin, Northern Territory College of Medicine and Public Health, Flinders University The University of Adelaide Forensic Science SA, Adelaide, Australia.

Abstract: Commercial or recreational fishing may be associated with a wide range of potentially lethal events. We report the case of a 56-year-old man who died of blunt force chest and abdominal trauma after impact with a large Spanish mackerel (Scomberomorus commerson) that had jumped into his recreational fishing boat. Injuries at autopsy included soft tissue bruising with fractured ribs, a ruptured diaphragm, intestinal and mesenteric contusions, contusion and disruption of the pancreas, and hilar splenic lacerations with a left-sided hemothorax and a hematoperitoneum. Read More

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January 2021

Faecopneumothorax due to missing diaphragmatic hernia: a case report.

J Med Case Rep 2021 Jan 23;15(1):19. Epub 2021 Jan 23.

Department of General Surgery, Kayseri City Training and Research Hospital, Health Science University, Kayseri, Turkey.

Background: Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Read More

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January 2021