Traumatic Diaphragmatic Rupture

Abstract

To describe changes in the presentation, examination of the chest in patients with diaphragmatic rupture, was reviewed to identify the difficulty in the diagnosis and treatment of this injury. Between April 2006-and December 2012, 38-patients with traumatic diaphragmatic rupture were treated, and analyzed demographic data , cause of injury, extent and location of the diaphragmatic lesion with herniated organs, were described the clinical presentation.
Retrospective study of 38-cases, 36-male, 2-female, 37 cases left side, one case right side. Main cause was penetrating injury 35-cases, blast injury (12), gunshot (16), stab (7).
Blunt injury 3-cases, road traffic accident (2), post-operative damage and tear the diaphragm (1) case. Average age33-year, range (4-65years old).The diagnosis made by C-XR, C-T Scan, MRI, were grade of injury II-IV most common, associated injury stomach, spleen, bowel, kidney, retroperitoneal hematoma, liver. Repair through laparotomy and thoracotomy. Chest
pain abdominal pain shock was the main presentation. The study showed the suspicion beside the radiological C-XR, C-T Scan are very useful in initial diagnostic approach to traumatic diaphragmatic rupture. The difficulty is that diaphragmatic injuries particularly after penetrating trauma may initially go unnoticed and without changes in the C-XR Images diagnosis is made difficult. Early diagnosed, treatment reduces intra and postoperative morbidity and mortality.