MİNÖR KÜNT TRAVMAYA BAĞLI DİYAFRAGMA RÜPTÜRÜ VE HERNİASYON

Year 2008, Volume: 9 Issue: 1, 31 - 34, 01.04.2008

Oğuz Hasdemir Süleyman Çetınkunar Erol Yalçın Deniz Gazioğlu Serra Soylu

Abstract

Künt travma sonrası diafragma rüptürü nadir görülür. Künt travma nedeniyle hospitalize edilen hastalarınortalama % 0.8- 1.6 sında meydana gelmektedir. Bu çalışmada minor künt travma nedeniyle görülen izolediafragma rüptürü ve ince barsak herniasyonu olan bir olgu sunulmuştur. Hastada toraks boşluğuna herniasyonnedeniyle intestinal obstruksiyon mevcuttu. Minor künt travmalardan sonra ortaya çıkan izole diafragmatikrüptüre bağlı intestinal obstruksiyon olguları oldukça nadirdir.Preoperatif dönemde izole diyafragma rüptürlerinin tanısını koymak oldukça güçtür. Künt veya penetran travmasonrası gelişen diafragma rüptürlerinde tanı koyabilmek için bu olasılık akla gelmelidir. Geç dönemde, travmaöyküsünün araştırılması, bu tanının konmasını kolaylaştıracaktır. Diyafragma yaralanmalarında tanı koymadaşüpheci yaklaşım, toraksın fizik muayenesi, ve akciğer grafisi yararlı olacaktır

Keywords

Diafragma rüptürü, minor künt travma, herniasyon

Isolated Diaphragmatic Rupture and Herniation Related with a Minor Blunt Trauma-A Case Report

Abstract

Rupture of the diaphragm after blunt trauma is uncommon, occurring in approximately 0.8%-1.6% of patients who are hospitalized with blunt trauma. A case of diaphragmatic rupture and intestinal herniation following a minor blunt trauma is reported in this article. The patient experienced intestinal obstruction owing to herniation into the thoracic cavity An isolated injury after minor blunt trauma, the cases of diaphragmatic rupture with intestinal obstruction have been rarely reported. Isolated diaphragmatic rupture in general may be a difficult injury to recognize during preoperative period. Following blunt or penetrating traumas, in order to diagnose diaphragmatic ruptures, this possibility should be considered. In the later phases, questioning history of trauma would make it an easier diagnosis.Ahigh index of suspicion, physical examinaton of the chest, and x-ray film are helpful for diagnosis of diaphragmatic injury.

Keywords

Diaphragmatic rupture, minor blunt trauma, herniation

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