Keywords
Diaphragmatic rupture
Polytrauma
How to Cite
Abstract
Introduction :
Trauma of diaphragm is rare, accounting for 3.6% of injuries sustained in road accidents. They are the result of violent trauma and most often occur in the left dome. The aim was to describe the diagnostic and therapeutic modalities of the two cases of diaphragmatic rupture in our context.
Observations :
The two patients were young adults (18, 55 years), male, all victims of road traffic accidents resulting in firm trauma to the thorax. All patients had left basithoracic lesions. Both patients were diagnosed intraoperatively on the basis of strong clinical and radiological suspicion. The diaphragm ruptures presented by our patients were found on the left, viscera ascending into the thorax. Therapeutically, an emergency exploratory laparotomy was performed. The approach was abdominal for two patients, and the surgical procedure involved lowering the herniated organs and suturing the diaphragm for both patients. Postoperative management was straightforward.
Conclusion :
Post-traumatic diaphragmatic hernia is a particular injury in traumatology. It most often occurs in the setting of polytrauma. Its seriousness derives from its complications and associated lesions, which can be life-threatening.
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