title: Right ventricle collapse secondary to hepatothorax caused by diaphragm rupture due to blunt trauma.
abstract: Traumatic diaphragm ruptures occur frequently after motor vehicle accidents through penetrating traumas. In 90% of the patients, traumatic diaphragm rupture commonly coexists with other organ injuries. Posteroanterior chest x-ray, computed tomography, magnetic resonance imaging, upper gastrointestinal system contrast-enhanced examinations, and thoraxoscopy/laparoscopy are several modalities which can be used for diagnosing traumatic diaphragm rupture in clinical practice. A case of right ventricle collapse secondary to hepatothorax caused by diaphragm rupture was presented in this study. Patient was diagnosed by posteroanterior chest x-ray and computed tomography. Emergency surgery was planned due to hemodynamic instability. When mechanical pressure on the right ventricle disappeared, hemodynamic improvement was observed simultaneously.
authors.affiliation: Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey. mtpuz@hotmail.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Topuz
authors.affiliation: Department of General Surgery, Turhal State Hospital, Tokat, Turkey.
authors.forename: Mehmet Cihat
authors.initials: MC
authors.lastname: Ozek
mesh_terms: D000063:Accidents, Traffic; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D010535:Laparoscopy; D008099:Liver / Q000293:injuries*; D008875:Middle Aged; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery