Isolated right diaphragmatic rupture following blunt trauma

Baloyiannis, Ioannis; Kouritas, Vasileios; Karagiannis, Konstantinos; Spyridakis, M.; Efthimiou, Matthaios

doi:10.1007/s11748-010-0759-8

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…2013 [69]1, M, 30AccidentChest X-ray and CT scanLaparoscopyLeft hemi diaphragmStomachKuppusamy A, Ulus Trauma Acil Cherrai Derg 2012 [70]1, M, 28TraumaCT scanThoracotomyRight hemi diaphragmLiverIsmail Okan,Ulus Travma Acil Cerrahi Derg. 2011 [71]10 cases,44,3 yTraumaCT scan7 laparotomy1 thoracic-abdominal approach2 thoracic9 left sideIoannis BaloyiannisGeneral Thoracic and Cardiovascular Surgery 2011 [72]1, M, 56TraumaLaparotomyVassileva CMAnn Thorac Cardiovasc Surg. 2012 [73]1, F, 25Morgagni herniaChest X-ray, CT scanLaparoscopic repairRight hemi diaphragmOmentumAgrafiotis ACActa Chir Belg.…”

Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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BackgroundCongenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17–6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical signs and radiological investigations.MethodsFrom May 2013 to June 2016, six cases (four females, two males; mean age 58 years) of diaphragmatic hernia were admitted to our Academic Department of General Surgery with respiratory and abdominal symptoms. Chest X-ray, barium studies and CT scan were performed.ResultsCase 1 presented left diaphragmatic hernia containing transverse and descending colon. Case 2 showed left CDH which allowed passage of stomach, spleen and colon. Case 3 and 6 showed stomach in left hemithorax. Case 4 presented left diaphragmatic hernia which allowed passage of the spleen, left lobe of liver and transverse colon. Case 5 had stomach and spleen herniated into the chest. Emergency surgery was always performed. The hernia contents were reduced and defect was closed with primary repair or mesh. In all cases, post-operative courses were uneventful.ConclusionOverlapping abdominal and respiratory symptoms lead to diagnosis of diaphragmatic hernia, in patients with or without an history of trauma. Chest X-ray, CT scan and barium studies should be done to evaluate diaphragmatic defect, size, location and contents. Emergency surgical approach is mandatory reducing morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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“…Most of the TDI are associated with other throraco-abdominal organ injuries such as liver, splenic and bowel injuries making diaphragmatic injuries an indicator of severe trauma [3]. Only a few cases of isolated large TDI without intra-abdominal solid or hollow viscus damages are reported in medical literature [3][4][5][6].…”

Section: Introduction Introductionmentioning

confidence: 99%

Successful laparoscopic management of an isolated grade four traumatic diaphragmatic injury: A case report

Gunathilaka

Indrajith

Samarasena

et al. 2022

Anuradhapura Med. J.

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Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

et al. 2020

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Introduction Complicated diaphragmatic hernia (DH) can be congenital or acquired. Congenital diaphragmatic hernias (CDH) are rare and often can be asymptomatic until adulthood. Traumatic diaphragmatic hernia (TDH) is a complication that occurs in about 1–5% of victims of road accidents and in 10–15% of penetrating traumas of the lower chest. CDH and TDH are potentially life‐threatening conditions, and the management in emergency setting still debated. This study aims to evaluate the surgical treatment options in emergency setting. Methods A bibliographic research reporting the item “emergency surgery” linked with “traumatic diaphragmatic rupture” and “congenital diaphragmatic hernia” was performed. Several parameters were recorded including sex, age, etiology, diagnosis, treatment, site and herniated organs. Results The research included 146 articles, and 1542 patients were analyzed. Most of the complicated diaphragmatic hernias occurred for a diaphragmatic defect due to trauma, only 7.2% occurred for a congenital diaphragmatic defect. The main diagnostic method used was chest X‐ray and CT scan. Laparotomic approach still remains predominant compared to the minimally invasive approach. Conclusion Surgery is the treatment of choice and is strongly influenced by the preoperative setting, performed mainly with X‐ray and CT scan. Minimally invasive approach is safe and feasible but is highly dependent on the surgeon's expertise, especially in emergency setting.

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Isolated right diaphragmatic rupture following blunt trauma

Cited by 4 publications

References 13 publications

Emergency surgery due to diaphragmatic hernia: case series and review

Emergency surgery due to diaphragmatic hernia: case series and review

Successful laparoscopic management of an isolated grade four traumatic diaphragmatic injury: A case report

Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

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