BACKGROUND: Traumatic @entity397 and traumatic @entity4036 are two well-described but rare clinical entities associated with blunt @entity130 . To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported. CASE PRESENTATION: A 32-year-old Indian @entity1 was brought to our emergency department after being involved in a road traffic accident. He described a @entity909 and had multiple tender @entity2981 at his right upper anterior abdominal wall and left lumbar region. An initial examination revealed blood pressure of 99/63 mmHg, heart rate of 107 beats/minute, and @entity26 saturation of 93 % on room air. His clinical parameters stabilized after initial resuscitation. A computed tomographic scan revealed a rupture of the left diaphragm as well as extensive disruptions of the left upper anterior abdominal wall. We performed exploratory laparoscopic surgery with the intention of primary repair. The diaphragmatic and abdominal wall defect was primarily closed, followed by reinforcement with PROLENE onlay mesh. The @entity1 's postoperative recovery was complicated by infected @entity1410 over both flanks that were managed with ultrasound-guided percutaneous drainage. He was discharged well despite a prolonged hospital stay. CONCLUSIONS: We present a complex form of injuries managed successfully via a laparoscopic approach. Meticulous attention to potential complications in both the acute and convalescent phases is important for achieving a successful outcome following surgery.

Successful laparoscopic management of combined traumatic XXXX and @entity4036 : a case report.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity4036 :: ('MESH:D046449', 'Disease') :: ['abdominal wall hernia'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity909 :: ('MESH:D014474', 'Disease') :: ['temporary loss of consciousness'] @entity397 :: ('MESH:D012421', 'Disease') :: ['diaphragmatic rupture'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas'] @entity2981 :: ('MESH:D003288', 'Disease') :: ['bruises'] @entity130 :: ('MESH:D014947', 'Disease') :: ['thoracoabdominal injuries']
@entity397 :: (MESH:D012421,Disease) :: ['diaphragmatic rupture']
