Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center

İliklerden, Duygu Mergan

doi:10.5606/tgkdc.dergisi.2022.21790

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…The tendinous area of the diaphragm between the left lobe of the liver and spleen is most vulnerable to rupture. 2 The chance of such rupture increases exponentially when the pleuroperitoneal gradient exceeds 150–200 cm H 2 O. 3 By contrast, injury to the right hemidiaphragm is uncommon due to the protection offered by the voluminous liver.…”

Section: Discussionmentioning

confidence: 99%

Combined Rupture of the Diaphragm and Urinary Bladder in Blunt Trauma Abdomen

Dugar,

Mohanty,

Muhammed

2024

TPJ

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The authors examined a 25-year-old man with a combined rupture of the diaphragm and urinary bladder following blunt trauma to the abdomen. The presence of hematuria, suprapubic tenderness, and elevated serum urea and creatinine levels in this patient raised suspicion of urinary bladder rupture. Documentation of bowel gas shadows on the chest x-ray suggested underlying diaphragm injury. A computed tomogram of the thorax and abdomen confirmed the tear in the left hemidiaphragm with intrathoracic herniation of abdominal contents; however, it failed to detect the intraperitoneal urinary bladder rupture. Both the defects were identified and repaired during laparotomy. The sudden increase in intraabdominal pressure in blunt trauma to the abdomen often resulted in full-thickness tears of the diaphragm and the urinary bladder. Although radiological investigations were pivotal for assessing the damage to the internal organs, a methodical and thorough exploratory laparotomy was invaluable for successfully managing patients with blunt abdominal trauma.

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Section: Discussionmentioning

confidence: 99%