2011
DOI: 10.1007/s13089-011-0079-y
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Ultrasound diagnosis of diaphragmatic rupture

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Cited by 5 publications
(10 citation statements)
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“…3 and 4), visualization of some abdominal viscera above the diaphragm, and by M-mode; abnormal diaphragmatic excursion was readily seen [13], and this also had been seen in our study (Figs 2, 3, and 4). In our limited experience, TAUS could be considered as a beneficial initial diagnostic tool for diaphragmatic injury especially if the motion assessment by M-mode was added to the anatomical scan; this was also supported by Bothwell et al who documented the additional advantage of the dynamic assessment of the diaphragm over the plain radiography in this concern [13].…”
Section: Discussionsupporting
confidence: 87%
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“…3 and 4), visualization of some abdominal viscera above the diaphragm, and by M-mode; abnormal diaphragmatic excursion was readily seen [13], and this also had been seen in our study (Figs 2, 3, and 4). In our limited experience, TAUS could be considered as a beneficial initial diagnostic tool for diaphragmatic injury especially if the motion assessment by M-mode was added to the anatomical scan; this was also supported by Bothwell et al who documented the additional advantage of the dynamic assessment of the diaphragm over the plain radiography in this concern [13].…”
Section: Discussionsupporting
confidence: 87%
“…Although there is no consensus on the TAUS sensitivity and specificity in diagnosis of diaphragmatic rupture, there had been many reports in the literature that aided in the diagnosis including direct visualization of the diaphragmatic defects (this was also seen in our cases Fig. 3 and 4), visualization of some abdominal viscera above the diaphragm, and by M-mode; abnormal diaphragmatic excursion was readily seen [13], and this also had been seen in our study (Figs 2, 3, and 4). In our limited experience, TAUS could be considered as a beneficial initial diagnostic tool for diaphragmatic injury especially if the motion assessment by M-mode was added to the anatomical scan; this was also supported by Bothwell et al who documented the additional advantage of the dynamic assessment of the diaphragm over the plain radiography in this concern [13].…”
Section: Discussionmentioning
confidence: 54%
“…The diaphragm can be identified in longitudinal axis, from the anteromedial to the lateral chest wall, using a curvilinear transducer (5-8 MHz) [2]. Diaphragmatic hernias should be suspected when there is a discontinuity of the diaphragmatic contour, focal elevation of the diaphragm with a wide-angled waist [2], presence of peristaltic bowel movement within the hemithorax [13], and absence of visceral organ such as spleen and kidney below the diaphragm [14]. However, BLUS has limitations in diagnosing diaphragmatic hernia in the presence of gas-filled intestinal loops, aerated lungs, and acoustic shadowing from the ribs [12].…”
Section: Discussionmentioning
confidence: 99%
“…Limited case reports of diaphragmatic rupture detected during the performance of the Focused Assessment with Sonography in Trauma exam have been reported in blunt trauma patients. Findings have included diminished diaphragm excursion upon visual inspection and diaphragmatic paralysis on M-mode [ 19 , 20 ]. In a study of 61 infants presenting to an ED with bronchiolitis, diminished diaphragm thickening fraction and a higher inspiratory slope were predictive of the future need for respiratory support during hospital admission [ 8 ].…”
Section: Discussionmentioning
confidence: 99%