CASE REPORTS   

Chirurgia 2012 April;25(2):143-4

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

A case of a spontaneous diaphragmatic tear complicated with the strangulation of colon

Lv X., Aizemaiti R., Wang Y., Tu Z.

Department of Cardiothoracic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang, China

Trauma is the main contributing factor which can cause rupture in diaphragm. Diaphragm is rarely ruptured spontaneously, esp. without any prior traumatic event or significant medical history. Here we present a spontaneous diaphragmatic tear. The diagnosis was made by emergent thoracic and abdominal CT-Scan, as well as by the thoracotomy and a rapid repair and the resection of the strangulated bowel was achieved by laparotomy. In these situations, early diagnosis and rapid surgical intervention are necessary for successful treatment of affected individuals.