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Journals / Eastern Journal of Medicine / 2008 / Cilt: 13 Sayı: 1-2

Traumatic diaphragma rupture: an experience of 13 cases

Ali İlker Filiz
Yavuz Kurt
İlker Sucullu
Ergun Yucel
M.levhi Akın
Pages
25–29
Publication Date
2013-01-14
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Key words: Blunt/penetrating trauma, diaphragmatic rupture, diaphragmatic hernia, complication

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Diaphragmatic injury is a rare condition, but late diagnosis may be associated with increased mortality and morbidity.
📊
Key Findings & Data:Between 2004 to 2007, 13 patients with traumatic diaphragmatic rupture or diaphragmatic hernia were treated.
💡
Conclusion & Impact:Key words: Blunt/penetrating trauma, diaphragmatic rupture, diaphragmatic hernia, complication
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Blunt/penetrating trauma · diaphragmatic rupture · diaphragmatic hernia

Abstract

Abstract. Diaphragmatic injury is a rare condition, but late diagnosis may be associated with increased mortality and morbidity. The aim of this study was to present our experience with the management of this injury. Between 2004 to 2007, 13 patients with traumatic diaphragmatic rupture or diaphragmatic hernia were treated. We described the findings in patients, who had operated urgent or had complaints due to intestinal obstruction months to years after an injury. All patients were male and mean age was 23.1 years. Diaphragmatic rupture was left-sided in all patients. Six of these patients had blunt and the remaining 7 had penetrating trauma. Diagnosis of diaphragmatic rupture was established in less than 24 hours in 4 patients. In the remaining 9 patients, who developed intra- throracic herniation of abdominal organs, diagnostic delay ranged from 12 to 48 months. The most frequent herniated organ was transverse colon. Non-absorbable sutures were used for closure of the defect. Complication rate was 30% and no death was observed. After blunt or penetrating trauma in upper abdomen and distal chest, a high index of suspicion is important to diagnose diaphragmatic rupture. Late presentations are associated with increased morbidity. Key words: Blunt/penetrating trauma, diaphragmatic rupture, diaphragmatic hernia, complication

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Cite This Article

Filiz, A. İ., Kurt, Y., Sucullu, İ., Yucel, E., Akın, M. (2013). Traumatic diaphragma rupture: an experience of 13 cases. Eastern Journal of Medicine, Cilt: 13 Sayı: 1-2, 25–29. https://ajindex.com/articles/985080

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References (25)

  1. Mihos P, Potaris K, Gakidis J, et.al. Traumatic rupture of the diaphragm: experience with 65 patients. Injury 2003; 34: 169-172.
  2. Eren S, Kantarci M, Okur A. Imaging of diaphragmatic rupture after trauma. Clin Radiol; 61: 467-477. Reber PU, Schmied B, Seiler CA, et al. Missed diaphragmatic injuries and their long-term sequelae. J Trauma. 1998; 44: 183-188.
  3. Baca B, Karahasanoğlu T, Sarıbeyoğlu K, et al. Late complication of diaphragmatic gunshot injury: appendix perforation due to colon incarceration. Ulus Travma Acil Cerrahi Derg 2007; 13: 70-73.
  4. Murray JG, Caoili E, Gruden JF, et al. Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. AJR; 166: 1035-1039.
  5. Guth AA, Pachter HL, Kim U. Pitfalls in the diagnosis of blunt diaphragmatic injury. Am J Surg; 170: 5-9. Degiannis E, Levy RD, Sofianos C, et al. Diaphragmatic herniation after penetrating trauma. Br J Surg 1996; 83: 88-91.
  6. Duzgun AP, Ozmen MM, Saylam B, et al. Factors influencing mortality in traumatic ruptures of diaphragm. Ulus Travma Acil Cerrahi Derg 2008;: 132-138.
  7. Nau T, Seitz H, Mousavi M, et al. The diagnostic dilemna of traumatic rupture of the diaphragm. Surg Endosc 2001; 15: 992-996.
  8. Koehler RH, Smith RS. Thoracoscopic repair of missed diaphragmatic injury in penetrating trauma: case report. J Trauma 1994; 36: 424-427.
  9. Kurt N, Oncel M, Kement M, et al. Prognostic factors effecting mortality in traumatic diaphragma injury. Ulus Travma Derg 2002; 8: 152-155.
  10. Peker Y, Tatar F, Kahya MC, et al. Dislocation of three segments of the liver due to hernia of the right diaphragm. Report of a case and review of the literature. Hernia 2007; 11: 63-65.
  11. Voeller GR, Reisser JR, Fabian TC, et al. Blunt diaphragm injuries. A five-year experience. Am Surg 1990; 56: 28-31.
  12. Demetriades D, Kakoyiannis S, Parekh D, et al. Penetrating injuries of the diaphragm. Br J Surg; 75: 824-826. Ramos CT, Koplewitz BZ, Babyn PS, et al. What have we learned about traumatic diaphragmatic hernias in children? J Pediatr Surg 2000; 35: 601
  13. Murray JA, Demetriades D, Asensio JA, et al. Occult injuries to the diaphragm: prospective evaluation of laparoscopy in penetrating injuries to the left lower chest. J Am Coll Surg 1998; 187: 630.
  14. Miller L, Bennett EV Jr, Root HD, et al. Management of penetrating and blunt diaphragmatic injury. J Trauma. 1984; 24: 403-409.
  15. Matsevych OY. Blunt diaphragmatic rupture: four year’s experience. Hernia 2008; 12: 73-78.
  16. Wirbel RJ, Mutschler W. Blunt rupture of the right hemidiaphragm with complete dislocation of the right hepatic lobe: report of a case. Surg Today; 28: 850-852. Grillo IA, Jastaniah SA, Bayoumi AH, et al. Traumatic diaphragmatic hernia: an Asir region (Saudi Arabia) experience. Indian J Chest Dis Allied Sci 2000; 42: 9-14.
  17. Friese RS, Coln CE, Gentilello LM. Laparoscopy is sufficient to exclude occult diaphragm injury after penetrating abdominal trauma. J Trauma 2005; 58: 792.
  18. Cherry RA, Eachempati SR, Hydo LJ, et al. The role of laparoscopy in penetrating abdominal stab wounds. Surg Laparosc Endosc Percutan Tech; 15: 14-17. Matthews BD, Bui H, Harold KL, et al. Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc 2003; 17: 254-258.
  19. Eren S, Kantarci M, Okur A. Imaging of diaphragmatic rupture after trauma. Clin Radiol; 61: 467-477. Reber PU, Schmied B, Seiler CA, et al. Missed diaphragmatic injuries and their long-term sequelae. J Trauma. 1998; 44: 183-188.
  20. Murray JG, Caoili E, Gruden JF, et al. Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. AJR; 166: 1035-1039.
  21. Guth AA, Pachter HL, Kim U. Pitfalls in the diagnosis of blunt diaphragmatic injury. Am J Surg; 170: 5-9. Degiannis E, Levy RD, Sofianos C, et al. Diaphragmatic herniation after penetrating trauma. Br J Surg 1996; 83: 88-91.
  22. Duzgun AP, Ozmen MM, Saylam B, et al. Factors influencing mortality in traumatic ruptures of diaphragm. Ulus Travma Acil Cerrahi Derg 2008;: 132-138.
  23. Demetriades D, Kakoyiannis S, Parekh D, et al. Penetrating injuries of the diaphragm. Br J Surg; 75: 824-826. Ramos CT, Koplewitz BZ, Babyn PS, et al. What have we learned about traumatic diaphragmatic hernias in children? J Pediatr Surg 2000; 35: 601
  24. Wirbel RJ, Mutschler W. Blunt rupture of the right hemidiaphragm with complete dislocation of the right hepatic lobe: report of a case. Surg Today; 28: 850-852. Grillo IA, Jastaniah SA, Bayoumi AH, et al. Traumatic diaphragmatic hernia: an Asir region (Saudi Arabia) experience. Indian J Chest Dis Allied Sci 2000; 42: 9-14.
  25. Cherry RA, Eachempati SR, Hydo LJ, et al. The role of laparoscopy in penetrating abdominal stab wounds. Surg Laparosc Endosc Percutan Tech; 15: 14-17. Matthews BD, Bui H, Harold KL, et al. Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc 2003; 17: 254-258.