Clinical findings and management of diaphragmatic rupture with hernia caused by safety body harness: A case report

Handaya, Adeodatus Yuda and Fauzi, Aditya Rifqi and Andrew, Joshua and Hanif, Ahmad Shafa and Radinal, Kevin and Kresna Aditya, Azriel Farrel (2021) Clinical findings and management of diaphragmatic rupture with hernia caused by safety body harness: A case report. Annals of Medicine and Surgery, 66. ISSN 20490801

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Abstract

Introduction: Acute blunt traumatic diaphragmatic rupture (BTDR) caused by falling from a height is rare. Transabdominal diaphragmatic repair in an acute setting following BTDR requires good clinical decision-making and diagnostic tests. Case presentation: A 36-year-old male was involved in a work accident. He fell from a 30-m radio transmitter tower while wearing an attached safety body harness. He arrived in the emergency room with complaints of breathing difficulty, abdominal and pelvic pain. We discovered a diaphragmatic rupture with abdominal organ herniation based on the imaging. We decided to perform an emergency laparotomy. We discovered a 12cm diaphragmatic defect on the anteromedial side of the left during surgery. We carried out the evacuation by suction and controlled the bleeding in the wound at the edge of the diaphragm. On postoperative day 4 (POD), the patient complained of dyspnea, and chest radiology revealed a hemothorax in the left lung. We then installed a water-sealed drainage (WSD) until POD 6. On the following day, his complaint was resolved, the WSD was removed and the patient was discharged uneventfully. Discussion: Abdominal CT scan can be helpful in determining early diagnosis of traumatic diaphragm rupture with abdominal organ herniation, allowing for prompt surgical intervention to minimize morbidity and mortality. Furthermore, reinforced sutures might be useful to prevent recurrence of the symptoms. Conclusion: In conclusion, injury due to wearing a safety body harness when falling can be a potential cause of BTDR. Management of BTDR transabdominally is a safe and effective procedure. © 2021

Item Type: Article
Additional Information: Cited by: 1; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: abdominal injury; abdominal pain; adult; air sac; Article; bleeding; body fluid; case report; clinical article; computer assisted tomography; diaphragm; diaphragm hernia; echography; emergency ward; hematoma; hemoperitoneum; human; intestine sound; laparotomy; male; maxillofacial injury; pelvic pain; reticular opacity; splenorenal shunt; thorax radiography; transverse colon
Subjects: R Medicine > RD Surgical Divisions
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Sri JUNANDI
Date Deposited: 25 Sep 2024 04:41
Last Modified: 25 Sep 2024 04:41
URI: https://ir.lib.ugm.ac.id/id/eprint/4664

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