Chellasamy Rajeev Thilak, Rajarajan Nembian, Pio Samy Noel Marie, Munusamy Hemachandren
Cardiac/Thoracic/Vascular Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, IND.
Anaesthesiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, IND.
Cureus. 2023 May 17;15(5):e39125. doi: 10.7759/cureus.39125. eCollection 2023 May.
Traumatic pericardi0-diaphragmatic rupture is very rare. It occurs due to high-velocity blunt trauma or penetrating injury to the abdomen or chest, which requires emergency intervention. The severity of injury varies, and it is very difficult to diagnose. Diaphragmatic ruptures are more common on the left side. Pericardial tears and diaphragmatic rupture are rare and often unrecognized in the acute phase. Computed Tomography is essential to diagnose and requires emergency surgery to avoid dreaded complications. A twenty-eight-year-old female reported to the emergency department with blunt injury to the abdomen following a road traffic accident. She was found to have diaphragmatic and a pericardial rupture with herniation of the bowel into the thoracic cavity. Emergency surgical repair was done. We report this case, as it is very rare to have a pericardial involvement along with diaphragmatic rupture, and to elaborate on the technical aspect of the surgical repair.
创伤性心包 - 膈肌破裂非常罕见。它是由腹部或胸部的高速钝性创伤或穿透伤引起的，需要紧急干预。损伤的严重程度各不相同，且很难诊断。膈肌破裂在左侧更为常见。心包撕裂和膈肌破裂很少见，在急性期常未被识别。计算机断层扫描对于诊断至关重要，并且需要紧急手术以避免可怕的并发症。一名28岁女性因道路交通事故腹部钝性损伤被送往急诊科。她被发现存在膈肌和心包破裂，伴有肠管疝入胸腔。进行了紧急手术修复。我们报告此病例，因为心包受累合并膈肌破裂非常罕见，并详细阐述手术修复的技术方面。
