Journal of Intensive and Critical Care Open Access

Department of Surgery, University of Gondar, College of Medicine and Health sciences, Gondar, Ethiopia

Publications

• Case Report   
  A Rare Case of Blunt Left Diaphragmatic and Pericardial Rupture in a Child: A Case Report
  Author(s): Melaku Tessema Kassie*, Motuma Gonfa, Ruth Betremariam Abebe and Befikadu Molalign
  
  Introduction: Blunt Diaphragmatic Rupture (BTDR) is a rare condition that can occur in children following high-energy blunt thoracoabdominal trauma. In less than 1% of the cases, pericardial rupture can coexist with a BTDR. A coexistence of BTDR and pericardial rupture can result in displacement of the heart and is associated with high mortality. Clinical presentation is non-specific and requires a high index of suspicion for early management. Case presentation: A 4-year-old child presented to the emergency unit following high-energy trauma with severe respiratory distress. Initially, a left side chest tube was inserted but showed no clinical improvement. A chest X-ray showed a collapse of the left lung with herniation of bowel loops into the left hemithorax. An exploratory laparotomy was done and revealed a 10 × 4 cm defect in the lef.. View More»
  

  Abstract PDF