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

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.

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

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.