Laparoscopic Repair of Combined Right Diaphragm and Liver Injuries with a Sharp Object: A Case Report

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dc.contributor.authorArik, M. Kasim
dc.contributor.authorTas, Sukru
dc.contributor.authorOzkul, Faruk
dc.contributor.authorSahin, Hasan
dc.contributor.authorKaratag, Ozan
dc.contributor.authorKaraayvaz, Muammer
dc.date.accessioned2025-01-27T20:56:01Z
dc.date.available2025-01-27T20:56:01Z
dc.date.issued2013
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction. Diaphragm injuries develop following penetrating or blunt traumas. The purpose of the case report is to present a 28 year old male patient with stable hemodynamic findings treated with laparoscopic approach following a liver injury combined with a right diaphragm injury caused by a sharp penetrating object. Case. 4 cm long transverse laceration was observed near the middle axillary line in the 6th right intercostal space in the examination performed on a 28 year old male patient who applied to the emergency service due to sharp penetrating object injury. Respiratory sounds were decreased in the right side and the examination revealed sensitivity in the abdomen. Elevation in the right diaphragmand hemopneumothorax was monitored in chest X-ray and computerized tomography. Closed subaqueous thorax drain was placed and the patient was taken to the surgery with a right diaphragm injury prediagnosis. Laparoscopic exploration was performed to the patient with stable hemodynamic findings by entering through 10 mm port above the abdomen. 6 cm long injury at the right side of diaphragm and approximately 2 cm deep at the deepest point and 5 cm long linear laceration was observed in the 7th segment of the liver. The diaphragm was repaired laparoscopically with sutures that do not melt on their own. Tampon was applied to the laceration in the liver and bleeding control was performed with suture. Patient was discharged on the 3rd day because he had no problems during postoperative follow-ups. Result. No noticed right side diaphragm rupture and possible concomitant visceral organ injuries following a penetrant injury that can cause significant mortality and morbidity should be definitely kept in mind. The detection of right side diaphragm and liver injury is vital with high mortality in case of delayed diagnosis, and direct radiography and computerized tomography are helpful in the diagnosis. Surgical treatment with laparoscopic approach is a method that leads to less hospitalization duration and less pain in cases that are hemodynamically stable.
dc.identifier.doi10.1155/2013/209494
dc.identifier.issn2090-6900
dc.identifier.issn2090-6919
dc.identifier.pmid24386586
dc.identifier.urihttps://doi.org/10.1155/2013/209494
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26276
dc.identifier.volume2013
dc.identifier.wosWOS:000215547800015
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHindawi Ltd
dc.relation.ispartofCase Reports in Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectRupture
dc.subjectExperience
dc.titleLaparoscopic Repair of Combined Right Diaphragm and Liver Injuries with a Sharp Object: A Case Report
dc.typeArticle

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