Rhinoceros-related delayed traumatic diaphragmatic rupture.
Rhinoceros-related delayed traumatic diaphragmatic rupture.
Ulus Travma Acil Cerrahi Derg. 2020 May;26(3):486-488
Authors: Sebastian M, Abdullah A, Abusharia M, Abu-Zidan FM
Abstract
Animal-related injuries should be analyzed based on the behavior and anatomy of the attacking animal. Rhinoceros-related injuries in humans are extremely rare. Hereby, we report a life-threatening traumatic diaphragmatic hernia in a woman who presented three years after a rhinoceros gored her chest. A 47-year-old lady presented with abdominal pain, bilious vomiting and obstipation of one-day duration. She had recurrent attacks of colicky abdominal pain for a week before that. The patient gave the history of being admitted to the ICU three years before, after being gored by a rhinoceros into her chest while working as a veterinary assistant in the zoo. On examination, the abdomen was distended but soft and lax. Bowel sounds were exaggerated. Abdominal x-rays showed multiple air-fluid levels. A gastrographin follow through study hold up in the small bowel and did not reach the colon after seven hours. Abdominal and chest CT scan showed the splenic colonic flexure to be located in the left chest through a left diaphragmatic hernia. Urgent laparotomy showed a healthy splenic flexure of the colon that herniated through a 4 cm postero-lateral defect in the left diaphragm. The colon was reduced, and the defect was repaired with non-absorbable sutures. Postopera...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - Category: Emergency Medicine Authors: Sebastian M, Abdullah A, Abusharia M, Abu-Zidan FM Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
More News: Anatomy | CT Scan | Emergency Medicine | Gastroenterology | Hernia Repair | Laparotomy | Pain | PET Scan | Study | Turkey Health | Veterinary Research | X-Ray