DOI  10.17613/jeq5d-yff16 

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Case Report

Diaphragmatic rupture secondary to aminophylline on a case

Medina-Martinez, Irving Alejandro¹; Velazquez-Palacios, Edgar Ivan²; Contreras-Dominguez, Karen Lisbeth².

Correspondence: irvingalejandromm4@gmail.com

¹Department of General Surgery, ISSSTE General Hospital, Querétaro, México.
²Department of Emergency Medicine, ISSSTE General Hospital, Celaya, México.

KEYWORDS: Rupture, diaphragm, aminophylline, shock, splenectomy, ceftriaxone.

ABSTRACT: Diaphragmatic rupture in most cases is due to traumatic conditions most of these cases are presented by closed abdominal trauma, with very rare spontaneous rupture, The presence of shock secondary to atrial compression is an uncommon pathology that generates a great hemodynamic commitment by lowering venous return. It is produced as in other cases described in the adult population, by the presence of a chronic gastric volvulus or a diaphragmatic hernia. Surprisingly, it is asymptomatic until symptoms identical to those described appear spontaneously or during pregnancy or childbirth. Spontaneous rupture (without prior trauma) of the diaphragm corresponds to Congenital embryological defect with an uncommon occurrence.

CONFLICTS OF INTERESTS

The authors have no conflict of interest

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