Polytrauma to right diaphragm, descending thoracic aorta, and innominate artery.
Traumatic diaphragmatic rupture with concomitant great vessel injuries is a catastrophic and life-threatening injury group that requires immediate identification and management. It can be both diagnostically and therapeutically very challenging. We report a case of combined traumatic diaphragmatic, aortic and innominate artery injuries, which was managed successfully. To have a fruitful outcome, management of this injury complex should preferably be staged depending on the hemodynamic stability of the patient. In a patient with traumatic diaphragmatic injuries, one should also have a high index of suspicion of associated great vessel injuries.
Cardiothoracic Surgery Division, Sultan Qaboos University Hospital, Muscat, Oman.
Mohammad Salman
MS
Siddiqi
Cardiothoracic Surgery Division, Sultan Qaboos University Hospital, Muscat, Oman drashoksharma1@gmail.com.
Ashok Kumar
AK
Sharma
Cardiothoracic Surgery Division, Sultan Qaboos University Hospital, Muscat, Oman.
Hilal
H
Al Sabti
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003131:Combined Modality Therapy; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000069636:Pedestrians; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D055815:Young Adult
Accidents; Aorta; Brachiocephalic trunk; Hernia; Multiple trauma; Thoracic injuries; diaphragmatic; thoracic; traffic; traumatic