Fulltext

Undiagnosed Myocardial Tear Blocked byan Omental Plug: Potentially LifethreateningCondition

Wüthrich, Philippe ; Platon, Alexandra ; Huber, Olivier ; Poletti, Pierre-Alexandre

In: European Journal of Trauma, 2006, vol. 32, no. 4, p. 414-416

Aggiungi alla tua lista
    Titre
    • Undiagnosed Myocardial Tear Blocked byan Omental Plug: Potentially LifethreateningCondition
    Auteur
    • Wüthrich, Philippe. Visceral Surgery, University Hospital Geneva, Geneva, Switzerland
    • Platon, Alexandra. Radiology, University Hospital Geneva, Geneva, Switzerland
    • Huber, Olivier. Visceral Surgery, University Hospital Geneva, Geneva, Switzerland
    • Poletti, Pierre-Alexandre. Radiology, University Hospital Geneva, Geneva, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:313791
    Summary
    Blunt chest trauma carries a high mortality when associated with cardiac rupture. Rapid diagnosis represents a true challenge for clinicians, with CT scan examination playing a central role. We report a case of a traumatic myocardial tear, plugged by the greater omentum through a diaphragmatic rent in an hemodynamically stable patient. This condition, identified during laparoscopy, was not suspected preoperatively at both clinical examination and CT. This case illustrates that a transparietal cardiac rupture can be sealed off by surrounding structures. This phenomenon explains why CT can be unable to detect traumatic cardiac rupture, with the potential risk of a delayed fatal bleeding. This case also emphasizes the risk of using laparoscopy in traumatic diaphragm rupture repair