A review on Traumatic diaphragmatic ruptur

Abstract

Historical Vignette: Traumatic diaphragmatic hernia apparently was described by Sennertus, who in 1541 reported an instance of delayed herniation of viscera through an injured diaphragm. The first two deaths were described by Ambrose Paré in 1578, one from strangulated bowel. Ambroise Paré, in 1579, described the first case of diaphragmatic rupture diagnosed at autopsy. The patient was a French artillery captain who initially survived a gunshot wound of the abdomen, but died 8 months later of a strangulated gangrenous colon, herniating through a small diaphragmatic defect that would admit only the tip of the small finger. It was not until 1853 that ante mortem diagnosis of traumatic rupture of diaphragm was made by Bowditch. The first successful diaphragmatic repair was reported by Riolfi in 1886 in a patient with omental prolapse, and Naumann in 1888 repaired the defect with herniated stomach. The largest and the most comprehensive collective review was

Clinical-evolutive, diagnostic and treatmental particularities in traumatic diaphragmatic hernia in children. Clinical case presentation and literature review

“…Bowditch published the first case of HDT diagnosed with death, establishing five diagnostic criteria. In 1886, Riolfi performed the first successful intervention of a penetrating diaphragm injury, and Walker, in 1899, successfully reduced a diaphragmatic hernia and repaired the diaphragm [7].…”

“…Migration of intraperitoneal organs into the pleural space, with compression of the lung and displacement of mediastinum, compromises cardiovascular and respiratory functions. Thus, dysfunction of a hemi diaphragm leads to a reduction of lung function by 25-50% [7].…”