Affiliation:
1. Department of Surgery, National Cardiothoracic Centre of Excellence, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria
2. Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
Abstract
Abstract
Introduction:
Obstructed diaphragmatic rupture, although rare, poses a rare and life-threatening risk and is challenging to diagnose due to its nonspecific symptoms. Timely recognition, early diagnosis, and appropriate management are crucial.
Materials and Methods:
We present a 15-year-old boy who arrived at the emergency with insidious onset of projectile, nonbilious vomiting, and left-sided chest pain with an antecedent history of trauma 10 months before presentation. Radiological assessment initially suggested a left-sided hydropneumothorax with a significant contralateral mediastinal shift. Clinical evaluation was suggestive of diaphragmatic rupture.
Results:
The patient underwent a left thoracotomy during which the herniated stomach, spleen, and omentum were reduced, and the diaphragmatic rupture was repaired.
Conclusion:
Following the procedure, the patient’s condition markedly improved, and he experienced a smooth recovery.