A Case Report on Diaphragmatic Rupture, in the Visceral Surgery of Hospital of Conakry, Guinea
Journal of Surgery
Volume 4, Issue 3, June 2016, Pages: 76-80
Received: Jun. 5, 2016; Accepted: Jun. 14, 2016; Published: Jul. 18, 2016
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Authors
Abdoulaye Korse Balde, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Oumar Taibata Balde, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Fode Lansana Camara, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Soriba Naby Camara, Department of Pancretic Surgery, Huazhong University of Science and Technology, Wuhan, China
Hamidou Sylla, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Amadou Dioulde Diallo, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Aissatou Taran Diallo, Department of General Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Alpha Madiou Barry, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Ahmed Boubacar Barry, Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Sneha Ballah, Department of General Surgery, University of Mauritius, Mauritius, Mauritius
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Abstract
The aim of this case report is to share our experience in the management of this this rare case of traumatic diaphragmatic rupture in the visceral surgery department of the Hospital of Conakry. Traumatic diaphragmatic rupture is an unfamiliar diagnosis to make and exceptionally seen in some cases of high velocity injuries which involve the abdomen. The high energy from blunt trauma transmitted across the abdomen gives rise to an excessively high pressure in the abdominal cavity which causes shearing of the diaphragmatic muscle. It is indeed considered as a surgical emergency as impaired diaphragmatic movement has a big impact on ventilation and oxygenation of blood. The delay in making appropriate diagnosis due to the lack of overt clinical signs relating to this type of injury accounts for the high mortality rates reaching 31%. We are reporting on a case concerning a 28-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a left sided traumatic diaphragmatic rupture associated with eventration of viscera into the thoracic cavity and contusion of the ascending colon. The mechanism of rupture was determined as a force vector directed frontally and was transmitted across the diaphragmatic wall. A clinical diagnosis was made and confirmed by radiological imaging preoperatively. Prompt surgical intervention was provided within the 1st 24 hours from the time of admission. No complications had been encountered during the post-operative recovery period. The best way to evaluate traumatic diaphragmatic rupture in a patient is through a well-devised systematic approach. It is not advised to perform lengthy imaging tests in a hemodynamically unstable patient and thus, compromising the success of the surgical outcome.
Keywords
Diaphragm, Trauma, Rupture, Injury, Surgery
To cite this article
Abdoulaye Korse Balde, Oumar Taibata Balde, Fode Lansana Camara, Soriba Naby Camara, Hamidou Sylla, Amadou Dioulde Diallo, Aissatou Taran Diallo, Alpha Madiou Barry, Ahmed Boubacar Barry, Sneha Ballah, A Case Report on Diaphragmatic Rupture, in the Visceral Surgery of Hospital of Conakry, Guinea, Journal of Surgery. Vol. 4, No. 3, 2016, pp. 76-80. doi: 10.11648/j.js.20160403.13
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Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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