Diaphragmatic and Intercostal Muscle Tear After an Episode of Violent Sneezing: Spontaneous Diaphragmatic Injury Alvin H.K. Karangizi, Steven J. Renaud,

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Presentation transcript:

Diaphragmatic and Intercostal Muscle Tear After an Episode of Violent Sneezing: Spontaneous Diaphragmatic Injury Alvin H.K. Karangizi, Steven J. Renaud, Jagan N. Rao, FRCS(CTh), Govind Chetty, FRCS(CTh) The Annals of Thoracic Surgery Volume 96, Issue 1, Pages 301-302 (July 2013) DOI: 10.1016/j.athoracsur.2012.11.034 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Frontal and (B) lateral photographs taken on admission showing abdominal ecchymosis. The patient weighed 100.9 kg. All clinical photographs were taken, and are reproduced, with patient consent. The Annals of Thoracic Surgery 2013 96, 301-302DOI: (10.1016/j.athoracsur.2012.11.034) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Reconstructed coronal abdominal computed tomographic scan with arrow pointed toward apparent defect of left hemidiaphragm with intercostal involvement. The Annals of Thoracic Surgery 2013 96, 301-302DOI: (10.1016/j.athoracsur.2012.11.034) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photograph showing extended full thickness incision to intercostal muscle tear. The Annals of Thoracic Surgery 2013 96, 301-302DOI: (10.1016/j.athoracsur.2012.11.034) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions