Right Diaphragmatic Rupture with Passage of an Intrathoracic Ileal Segment Apropos of a Case and Review of the Literature at the Kankan Regional Hospital  

作　　者：Aly Mampan Koundouno Saikou Yaya Diakite Saa Yawo Kondano Fodé Lansana Camara Labilé Togba Soumaoro Soryba Naby Camara Abdoulaye Korsé Balde Hamidou Sylla Aissatou Taran Diallo Moussa Doumbouya Aboubacar Toure Aly Mampan Koundouno;Saikou Yaya Diakite;Saa Yawo Kondano;Fodé Lansana Camara;Labilé Togba Soumaoro;Soryba Naby Camara;Abdoulaye Korsé Balde;Hamidou Sylla;Aissatou Taran Diallo;Moussa Doumbouya;Aboubacar Toure(Visceral and Digestive Surgery at the Kankan Regional Hospital, Kankan, Guinea;General Surgery at the Ignace Deen National Hospital, Conakry, Guinea;Visceral and Digestive Surgery at the Sino-Guinean Friendship Hospital, Conakry, Guinea)

机构地区：[1]Visceral and Digestive Surgery at the Kankan Regional Hospital, Kankan, Guinea [2]General Surgery at the Ignace Deen National Hospital, Conakry, Guinea [3]Visceral and Digestive Surgery at the Sino-Guinean Friendship Hospital, Conakry, Guinea

出　　处：《Open Journal of Internal Medicine》2023年第2期126-130,共5页内科学期刊（英文）

摘　　要：Traumatic rupture of the right diaphragmatic dome with herniation of a segment of the hail into the thorax is a rare lesion. It is often the result of a thoraco-abdominal trauma. It can generally lead to early or late cardiopulmonary complications due to compression. The objective of this clinical case is to study the physiopathological mechanisms, the diagnostic and therapeutic modalities of this complication. The diagnosis is often difficult in front of a diaphragmatic rupture since there are no specific clinical signs. In our case, the clinical picture on arrival was that of a high occlusion in an immediate postoperative context. The X-ray which makes it possible to visualize the ascended organs but more difficultly the rupture itself could not be carried out. Treatment is essentially surgical. Although the thoracic approach is preferred by several surgeons because of the difficulties of exposing the diaphragm in the presence of the liver, we chose the abdominal approach instead. The postoperative course is made up of parietal suppuration.Traumatic rupture of the right diaphragmatic dome with herniation of a segment of the hail into the thorax is a rare lesion. It is often the result of a thoraco-abdominal trauma. It can generally lead to early or late cardiopulmonary complications due to compression. The objective of this clinical case is to study the physiopathological mechanisms, the diagnostic and therapeutic modalities of this complication. The diagnosis is often difficult in front of a diaphragmatic rupture since there are no specific clinical signs. In our case, the clinical picture on arrival was that of a high occlusion in an immediate postoperative context. The X-ray which makes it possible to visualize the ascended organs but more difficultly the rupture itself could not be carried out. Treatment is essentially surgical. Although the thoracic approach is preferred by several surgeons because of the difficulties of exposing the diaphragm in the presence of the liver, we chose the abdominal approach instead. The postoperative course is made up of parietal suppuration.

关 键 词：RUPTURE DIAPHRAGMATIC Intrathoracic Ileal Segment 

分 类 号：R65[医药卫生—外科学]