title: Role of thoracoscopy in traumatic diaphragmatic hernia.
abstract: Thoraco-abdominal trauma can in rare cases involve diaphragmatic rupture and subsequent herniation of intra-abdominal contents. We report a case of this complication in a 5-year-old boy who was injured in a car crash, and who manifested respiratory distress and hemodynamic instability after 48 h of being monitored in the pediatric intensive care unit. Multiple radiologic investigations were inconclusive and the definite diagnosis was established only on thoracoscopic exploration.
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Ghionzoli
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Martina
authors.initials: M
authors.lastname: Bongini
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Roberto Lo
authors.initials: RL
authors.lastname: Piccolo
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Martin
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Persano
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Diana E
authors.initials: DE
authors.lastname: Deaconu
authors.affiliation: Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Messineo
mesh_terms: D002675:Child, Preschool; D003964:Diaphragm / Q000000981:diagnostic imaging* / Q000293:injuries; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis* / Q000601:surgery; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D013906:Thoracoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed
keywords: diaphragmatic hernia; thoracoscopy; trauma