Difficulties in diagnosing a rupture of the left dome of the diaphragm
https://doi.org/10.24884/0042-4625-2021-180-4-91-94
Abstract
Rupture of the diaphragm dome in severe combined trauma is an infrequent phenomenon. At the same time, untimely diagnosis in the acute period leads to various serious complications. The article presents a clinical case of treatment of a patient after a severe railway injury, when a rupture of the left dome of the diaphragm with gastric dislocation was not recognized for 4 months. Pain syndrome due to the patient’s empyema of the pleura and necrosis of the stomach wall was stopped for a long time by taking strong drugs.
About the Authors
A. I. Beznosov
Gatchina Clinical Interdistrict Hospital
Russian Federation
Russian Federation
Beznosov Alexandr I., Surgeon of the Highest Category, Head of the Surgical Department
Leningrad Region
V. V. Ivlev
Gatchina Clinical Interdistrict Hospital; St. Petersburg Medical and Social Institute
Russian Federation
Russian Federation
Ivlev Vitaly V., Cand. of Sci. (Med.), Surgeon of the Highest Category, Associate Professor of the Department of Surgical Diseases № 1; Surgeon for Emergency Surgical Care
Leningrad Region; Saint Petersburg
G. I. Ibragimov
Gatchina Clinical Interdistrict Hospital
Russian Federation
Russian Federation
Ibragimov Gaji I., Surgeon
Leningrad Region
A. S. Patsan
Gatchina Clinical Interdistrict Hospital
Russian Federation
Russian Federation
Patsan Alexandr S., Radiologist
Leningrad Region
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For citations:
Beznosov A.I., Ivlev V.V., Ibragimov G.I., Patsan A.S. Difficulties in diagnosing a rupture of the left dome of the diaphragm. Grekov's Bulletin of Surgery. 2021;180(4):91-94. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-4-91-94
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