Traumatic Left Tension Pneumothorax with Concomitant Congenital Diaphragmatic Hernia

Year 2023, , 84 - 86, 31.12.2023

Chun Chau Tan , Nursyazana Nazee Mudeen Munirah Osman

https://doi.org/10.33706/jemcr.1326209

Abstract

Blunt thoracic trauma carries a high risk of morbidity and mortality and may be life-threatening. Clinical identification of a tension pneumothorax necessitates immediate decompression. Diagnosing a diaphragmatic hernia in a trauma context is challenging and rather uncommon. Should both pathologies coexist, there is potential bowel perforation due to thoracocentesis. A traumatic chest injury can complicate patients with a congenital diaphragmatic hernia who are asymptomatic. Early identification with clinical assessment and bedside ultrasound is essential, and surgical repair is the definitive management. We report a case of traumatic left tension pneumothorax, prompting an immediate left thoracostomy and an incidental finding of an uncomplicated congenital diaphragmatic hernia.

Keywords

thoracic injuries, pneumothorax, diaphragmatic hernia

Supporting Institution

Emergency Department, Hospital Sultanah Bahiyah

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