Right Diaphragmatic Rupture Post Earthquake

Abstract

Traumatic rupture of the right diaphragmatic dome with herniation of the liver into the thorax is a rare lesion. It is often integrated into the context of multiple trauma, of which it is a criterion of severity. It exposes you, early or late, to cardiopulmonary complications due to compression. The diagnosis of a right diaphragmatic rupture is difficult to establish. Indeed, its clinical signs are not very specific and the imaging can be faulty because it visualizes the ascended organs but more difficultly the rupture itself. The thoracic approach is often preferred due to the difficulties of exposing the diaphragm in the presence of the liver. We report a case of a right diaphragmatic rupture with isolated and total intra-thoracic passage of the liver diagnosed on the fifth day of hospitalization in a multiple trauma patient.