Presentation
Motorbike accident, handle bar to epigastrium. History of total colectomy with end ileostomy for ulcerative colitis
Patient Data
Age: 60 years
Gender: Male
From the case:
Traumatic diaphragmatic tear with gastric herniation
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Traumatic rupture of the left diaphragm with herniation of the gastric fundus into the thoracic cavity.
There is also an AAST grade 1 splenic laceration anteriorly.
Case Discussion
Diaphragmatic rupture should be managed operatively due to the risk of strangulation. There are also usually other injuries. In this case, he also had a grade 1 splenic laceration.
This patient proceeded to have a laparotomy to reduce the hernia and repair the rupture. He also had a splenectomy due to ongoing bleeding from the splenic laceration.
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