P.D. OVCHINNIKOV^1,2, A.I. ANDREEV², D.V. BOLSHAKOV², A.G. IZMAYLOV¹, R.K. MINEMULLIN²

¹Kazan State Medical University, 39 Butlerov Str., Kazan, Russian Federation, 420012

²City Clinical Hospital №16, 121 Gagarin Str., Kazan, Russian Federation, 420039

Ovchinnikov P.D. ― Assistant of the Department of General Surgery, surgeon, tel. (843) 222-06-53, e-mail: pavelov4innikov@icloud.com

Andreev A.I. ― Cand. Med. Sc., Deputy Chief Doctor, surgeon, tel. (843) 222-06-53, e-mail: a.andreyi@yandex.ru

Bolshakov D.V. ― operating surgeon of the Department of Thoratcic Surgery, tel. (843) 222-06-53, e-mail: dbolsh@yandex.ru

Izmaylov A.G. ― Cand. Med. Sc., Associate Professor of the Department of General Surgery, tel. (843) 557-39-46, e-mail: izmailov_alex@mail.ru

Minemullin R.K. ― Head of the Department of Thoratcic Surgery, tel. (843) 222-06-53, e-mail: minemullin15@yandex.ru
The article presents a clinical case of chest trauma, complicated by rupture of the left diaphragmatic cupula. The injuree has been admitted to the department of thoracic surgery with the diagnosis of pneumomediastinum, subcutaneous emphysema. Subsequently, in order to avoid damage to the abdominal cavity, the diagnostic laparoscopy has been performed. In the course of revision no damages of abdominal cavity are revealed. Against the background of a comprehensive approach to diagnosis and treatment of this disease, there was a solution of subdermal and mediastinal emphysema, pain management. The victim has been discharged in satisfactory condition.

Key words: pneumomediastinum, diagnostic laparoscopy, pleural cavity.

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