Traumatic Left Tension Pneumothorax with Concomitant Congenital Diaphragmatic Hernia

IF 0.1 Q4 EMERGENCY MEDICINE
Chun Chau Tan, Nursyazana NAZEE MUDEEN, Munirah Osman
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引用次数: 0

Abstract

Blunt thoracic trauma carries a high risk of morbidity and mortality and may be life-threatening. Clinical identification of a tension pneumothorax necessitates immediate decompression. Diagnosing a diaphragmatic hernia in a trauma context is challenging and rather uncommon. Should both pathologies coexist, there is potential bowel perforation due to thoracocentesis. A traumatic chest injury can complicate patients with a congenital diaphragmatic hernia who are asymptomatic. Early identification with clinical assessment and bedside ultrasound is essential, and surgical repair is the definitive management. We report a case of traumatic left tension pneumothorax, prompting an immediate left thoracostomy and an incidental finding of an uncomplicated congenital diaphragmatic hernia.
创伤性左侧张力性气胸伴有先天性膈疝
钝性胸外伤具有很高的发病率和死亡率,并可能危及生命。临床确认张力性气胸需要立即减压。在创伤背景下诊断膈疝是具有挑战性的,而且相当罕见。如果两种病理同时存在,则有可能因胸穿刺导致肠道穿孔。创伤性胸部损伤可使无症状的先天性膈疝患者复杂化。临床评估和床边超声的早期识别是必不可少的,手术修复是最终的管理。我们报告一例外伤性左张力性气胸,促使立即左胸廓造口术和偶然发现一个简单的先天性膈疝。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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