The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery

A 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left flank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fra...

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Main Authors: Yang Bin Jeon, Sung Youl Hyun, Dae Sung Ma
Format: Article
Language:English
Published: Korean Society of Traumatology 2019-06-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://www.jtraumainj.org/upload/pdf/jti-32-122.pdf
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author Yang Bin Jeon
Sung Youl Hyun
Dae Sung Ma
author_facet Yang Bin Jeon
Sung Youl Hyun
Dae Sung Ma
author_sort Yang Bin Jeon
collection DOAJ
description A 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left flank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fractures and hemopneumothorax on the left hemithorax and was found to have a bony fragment in the spleen. He had not presented peritonitis and exsanguinous symptoms during the observation period. Seven days later, computed tomography of the abdomen showed suspected diaphragmatic injury and a retained foreign body in the spleen. On exploration by video assisted thoracoc surgery (VATS), a herniated omentum through the lacerated site of the diaphragm was observed. After omentectomy using Endo Gia, the foreign body in the spleen was observed through the lacerated site of the diaphragm. Traumatic diaphragm rupture with a foreign body, in the spleen, was successfully managed by video assisted thoracic surgery via the lacerated site of the diaphragm.
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spelling doaj-art-5478bceaffe3416983fbf3c00bb13fbd2025-01-06T01:15:48ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-06-0132212212510.20408/jti.2018.055991The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic SurgeryYang Bin Jeon0Sung Youl Hyun1Dae Sung Ma2Department of Trauma Surgery, Trauma Center, Gachon University Gil Medical Center, Incheon, KoreaDepartment of Trauma Surgery, Trauma Center, Gachon University Gil Medical Center, Incheon, KoreaDepartment of Trauma Surgery, Trauma Center, Gachon University Gil Medical Center, Incheon, KoreaA 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left flank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fractures and hemopneumothorax on the left hemithorax and was found to have a bony fragment in the spleen. He had not presented peritonitis and exsanguinous symptoms during the observation period. Seven days later, computed tomography of the abdomen showed suspected diaphragmatic injury and a retained foreign body in the spleen. On exploration by video assisted thoracoc surgery (VATS), a herniated omentum through the lacerated site of the diaphragm was observed. After omentectomy using Endo Gia, the foreign body in the spleen was observed through the lacerated site of the diaphragm. Traumatic diaphragm rupture with a foreign body, in the spleen, was successfully managed by video assisted thoracic surgery via the lacerated site of the diaphragm.http://www.jtraumainj.org/upload/pdf/jti-32-122.pdfdiaphragmforeign bodiesvats
spellingShingle Yang Bin Jeon
Sung Youl Hyun
Dae Sung Ma
The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
Journal of Trauma and Injury
diaphragm
foreign bodies
vats
title The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
title_full The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
title_fullStr The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
title_full_unstemmed The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
title_short The Successful Removal of a Foreign Body in the Spleen via Diaphragm Laceration Site by Video-Assisted Thoracoscopic Surgery
title_sort successful removal of a foreign body in the spleen via diaphragm laceration site by video assisted thoracoscopic surgery
topic diaphragm
foreign bodies
vats
url http://www.jtraumainj.org/upload/pdf/jti-32-122.pdf
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