Ulus Travma Acil Cerrahi Derg. 2014; 20(6): 463-465 | DOI: 10.5505/tjtes.2014.27547

Künt travma nedeniyle oluþan diyafram rüptürünün sebep olduðu hepatotoraksa sekonder sað ventrikül kollapsý

Mustafa Topuz¹, Mehmet Cihat Ozek^2
1Adana Numune Eðitim Ve Araþtýrma Hastanesi, Kardiyoloji Kliniði, Adana
²Turhal Devlet Hastanesi, Genel Cerrahi Kliniði, Tokat

Travmatik diyafram rüptürü genellikle motorlu araç kazasýna baðlý penetran travmalar sonucunda meydana gelir. Olgularýn %90’ýnda diðer organ yaralanmalarý ile beraberdir. Direkt grafi, bilgisayarlý tomografi, manyetik rezonans görüntüleme, kontrastlý üst gastrointestinal sistem incelemesi ve torakoskopi/laparoskopi klinikte taný amaçlý kullanýlan yöntemlerdir. Biz bu olguda diyafram rüptürü sonrasý karaciðer herniasyonuna sekonder geliþen sað ventrikül kollapslý bir hasta sunduk. Hastanýn tanýsý arka-ön akciðer grafisi ve bilgisayarlý tomografi ile konuldu. Hemodinamisi kötü olan hastaya acil cerrahi planlandý. Sað ventrikül üzerindeki mekanik basýnç ortadan kaldýrýldýðýnda eþ zamanlý hemodinamik iyileþme gözlendi.

Anahtar Kelimeler: Mekanik stress, sað ventrikül kollapsý; travmatik diyafram rupture.

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Right Ventricle Collaps Secondary to Hepatothorax Caused by Diaphragm Rupture Due to Blunt Trauma

Mustafa Topuz¹, Mehmet Cihat Ozek^2
1Department Of Cardiology, Adana Numune Education And Research Hospital, Adana, Turkey
²Department Of General Surgery, Turhal State Hospital, Tokat, Turkey

The traumatic diaphragm rupture occurs frequenty after the motor vehicle accidents via penetrating traumas. In 90 % of 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 can be used for diagnosing traumatic diaphragm rupture in clinical practice.
We present a case of right ventricle collaps secondary to hepatothorax caused by diaphragm rupture. Patient was diagnosed by posteroanterior chest x-ray and computed tomography. Emergency surgery was planned due to the hemodynamic instability. When the mechanical pressure on right ventricle was disappeared, at the time hemodynamic improvement was observed.

Keywords: Right ventricle collaps, traumatic diaphragm rupture, mechanical stress

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