Journal Basic Info

  • Impact Factor: 0.285**
  • H-Index: 6
  • ISSN: 2638-4558
  • DOI: 10.25107/2638-4558
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Inflammation
  •  Sports Medicine
  •  Tuberculosis
  •  Sexual Health
  •  Surgery
  •  Nuclear Medicine
  •  Neurological Surgery
  •  Leukemia¬†

Abstract

Citation: Clin Case Rep Int. 2021;5(1):1236.DOI: 10.25107/2638-4558.1236

Long-Lasting Intrapericardial Displacement of the Transverse Colon Following Diaphragmatic and Pericardial Rupture

Karolina Gambus, Blazej Kuzdzal, Janusz Warmus, Konrad Moszczynski and Piotr Kocon

Department of Thoracic Surgery, 5th Military Hospital, Poland
Department of Thoracic Surgery, J. Dietl Hospital, Poland
Department of Thoracic Surgery, John Paul II Hospital, Poland
Department of Thoracic Surgery, Jagiellonian University Medical College, Poland

*Correspondance to: Blazej Kuzdzal 

 PDF  Full Text Case Report | Open Access

Abstract:

mass. On the chest CTa large volume of fatty tissue and bowel was seen in the anterior mediastinum. There was no history of trauma. An initial diagnosis of Larrey hernia was made and the patient was operated on. Laparotomy revealed a large defect in the tendinous centre of the diaphragm and pericardium with intrapericardial displacement of the omentum and the transverse colon. The viscera were reduced into the abdominal cavity and the defect was closed using a Teflon patch. The patient was questioned again about any trauma in the past and he remembered a car accident 20 years earlier. In the early postoperative course transient atrial fibrillation occurred and next pleural and pericardial effusion was diagnosed, requiring thoracentesis and pericardiocentesis. Further course was uneventful and the patient was discharged home. Although this condition is rare, delayed diagnosis of diaphragmatic and pericardial rupture should be taken into consideration in patients with epigastric symptoms, who sustained torso trauma in the past.

Keywords:

Cite the Article:

Gambus K, Kuzdzal B, Warmus J, Moszczynski K, Kocon P. Long- Lasting Intrapericardial Displacement of the Transverse Colon Following Diaphragmatic and Pericardial Rupture. Clin Case Rep Int. 2021; 5: 1236.

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