Traumatic rupture of the diaphragm: experience with 65 patients

Mihos, Peter; Potaris, Konstantinos; Gakidis, John; Paraskevopoulos, J. A.; Varvatsoulis, Panagiotis; Gougoutas, Basil; Papadakis, George; Lapidakis, Eleftherios

doi:10.1016/s0020-1383(02)00369-8

Cited by 176 publications

(183 citation statements)

References 10 publications

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“…There was no case in our study. The leftsided diaphragmatic rupture following blunt trauma is seen in 68.5-87% cases [9,15]. Eleven patients (57.89%) had the left-sided diaphragmatic rupture in our study.…”

Section: Discussionmentioning

confidence: 48%

Computed Tomography in the Evaluation of Diaphragmatic Hernia following Blunt Trauma

2012

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Diagnosis of traumatic diaphragmatic hernia due to blunt abdominal trauma requires a high index of suspicion. This study was conducted to assess the accuracy of multidetector computed tomogram (MDCT) in the diagnosis of traumatic diaphragmatic hernia. All patients with thoracoabdominal blunt trauma with diaphragmatic hernia diagnosed on radiologic evaluation during a 3-year period (i.e., from June 2004 to June 2007) were analyzed. Nineteen patients with diaphragmatic injuries in 117 patients with blunt thoracoabdominal injury (16.23%) were studied. Age range was 8-60 years (mean 34 years). Male-female ratio was 18:1. Various features seen on CT scan were diaphragmatic discontinuity in 13 (68.42%), thickened diaphragm in 10 (52.63%), "collar sign" in 8 (42.10%), visceral herniation in 12 (63.15%), dependent viscera sign in 8 (42.10%), and segmental nonrecognition of the diaphragm in 1 patient (5.88%). Two patients presented with delayed rupture. In the rest mean duration between time of injury and performance of CT scan was 44.35 h (range 3-288 h). Fourteen patients underwent operative management. Sensitivity, specificity, and accuracy of MDCT scan were 100, 93, and 95%, respectively. Three patients (15.78%) expired. MDCT is a highly accurate modality for detecting traumatic diaphragmatic hernia.

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Section: Discussionmentioning

confidence: 48%

Computed Tomography in the Evaluation of Diaphragmatic Hernia following Blunt Trauma

2012

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“…[3,4] The incidence of penetrating DR is reported to be 10-15%. [5] The importance of diaphragmatic injuries has been mentioned several times by different publications. [3,6] The most common reported adverse outcome in this injury is the herniation of intraabdominal organs into the thoracic cavity.…”

Section: Discussionmentioning

confidence: 99%

Does a penetrating diaphragm injury have an effect on morbidity and mortality?

Özoğul¹,

Kısaoğlu²,

Öztürk³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…10 In detecting bowel injury, CT has an overall sensitivity of 94% and 96% in detecting mesenteric injury. 11 Both sonography and CT show a weakness in diagnosing injuries to the diaphragm: Mihos et al 1,16,17 achieved a correct preoperative diagnosis in only 26% of 65 patients with a diaphragmatic injury, and in 74%, the diagnosis was made during operation. With these high quality methods, there is still a degree of diagnostic uncertainty with blunt abdominal trauma, especially when the gastrointestinal tract and pancreas are involved.…”

Section: Discussionmentioning

confidence: 99%

Avoiding of Nontherapeutic Laparotomies in Blunt Abdominal Trauma with Aid of Laparoscopy

Khudhair¹

2009

WJOLS

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Introduction: As there is particular danger that an injury to the diaphragm or intestines be overlooked. The decision in favor of surgery or nonoperative conservative treatment in abdominal trauma requires a precise diagnosis that is not always possible with imaging techniques. Owing to this circumstance, the indications for exploratory laparotomy should be generous with laparoscopy up to 41% of exploratory nontherapeutic laparotomies could be, or could have been, avoided.

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Traumatic rupture of the diaphragm: experience with 65 patients

Cited by 176 publications

References 10 publications

Computed Tomography in the Evaluation of Diaphragmatic Hernia following Blunt Trauma

Computed Tomography in the Evaluation of Diaphragmatic Hernia following Blunt Trauma

Does a penetrating diaphragm injury have an effect on morbidity and mortality?

Avoiding of Nontherapeutic Laparotomies in Blunt Abdominal Trauma with Aid of Laparoscopy

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