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Spontaneous Diaphragmatic Rupture after Coughing: Report of a Case and Review of the Literature
Joint Authors
Fenner, Hartwig
Memeti, Elza
Taha, Stephanie
Fornaro, Jürgen
Scheiwiller, Andreas
Metzger, Jürg
Gass, Markus
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Spontaneous diaphragmatic rupture (SDR) is a very rare surgical emergency.
A possible explanation for SDR might be a sudden increase of intra-abdominal pressure due to intense coughing, physical exercise, vomiting, or delivery.
A 66-year-old male patient presented with recurrent coughing, dyspnoea, and intermittent fever.
Although initial CT scan was inconspicuous, a follow-up CT scan revealed SDR of the left hemidiaphragm with herniation of the left colonic flexure, stomach, and parts of the greater omentum.
Emergency laparotomy confirmed SDR.
The ruptured anterior-lateral part of the diaphragm was closed, and additionally, a composite mesh was applied to reinforce the suture line.
A right-sided hemicolectomy with primary anastomosis had to be performed.
SDR is a rarity and can cause exceptional clinical features that may lead to inaccurate diagnosis and therapeutic delay.
Therefore, of paramount importance, medical practitioners need to be aware of this important differential diagnosis for spontaneous dyspnoea or tachypnea.
American Psychological Association (APA)
Fenner, Hartwig& Memeti, Elza& Taha, Stephanie& Fornaro, Jürgen& Scheiwiller, Andreas& Metzger, Jürg…[et al.]. 2019. Spontaneous Diaphragmatic Rupture after Coughing: Report of a Case and Review of the Literature. Case Reports in Surgery،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1144440
Modern Language Association (MLA)
Fenner, Hartwig…[et al.]. Spontaneous Diaphragmatic Rupture after Coughing: Report of a Case and Review of the Literature. Case Reports in Surgery No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1144440
American Medical Association (AMA)
Fenner, Hartwig& Memeti, Elza& Taha, Stephanie& Fornaro, Jürgen& Scheiwiller, Andreas& Metzger, Jürg…[et al.]. Spontaneous Diaphragmatic Rupture after Coughing: Report of a Case and Review of the Literature. Case Reports in Surgery. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1144440
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144440