Rupture of the diaphragm after blunt trauma

Andrus, Carl H.; Morton, John H.

doi:10.1016/0002-9610(70)90240-0

Cited by 70 publications

(17 citation statements)

References 19 publications

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“…Their summary of 116 cases of diaphragmatic hernias in dogs and cats showed that hernias occur in all regions, but the majority penetrate the fleshy portions, rather than the areas around the natural passageways or tendinous attachments. This finding agrees with a human study that indicated that most ruptures occur through weakened muscular areas rather than along the naturally occurring anatomical borders (21).…”

Section: "The Weak Points Of the Diaphragmsupporting

confidence: 92%

The Anatomy Heresies Continued VI

Shively¹

1990

Vet Comp Orthop Traumatol

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Section: "The Weak Points Of the Diaphragmsupporting

confidence: 92%

The Anatomy Heresies Continued VI

Shively¹

1990

Vet Comp Orthop Traumatol

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“…Left sided rupture occurs in 70%–80% cases, right sided rupture in 15%–24% cases, and bilateral in 5%–8% cases [8]. The greater prevalence of left sided rupture is due to buffer effect of the liver, embryonic weakness of left hemidiaphragm, and underdiagnosis of right diaphragmatic rupture [9–11]. Intrathoracic kidney is very rare and can occur in three possible situations like congenital DH, traumatic DH, or a congenital ectopic kidney.…”

Section: Discussionmentioning

confidence: 99%

Delayed Presentation of Traumatic Diaphragmatic Rupture with Herniation of the Left Kidney and Bowel Loops

Dwari

Mandal

Das

et al. 2013

Case Reports in Pulmonology

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Rupture of the diaphragm mostly occurs following major trauma. We report a case of delayed presentation of traumatic diaphragmatic hernia on the left side in a 44-year-old male who presented two weeks after a minor blunt trauma. Left kidney and intestinals coils were found to herniate through the diaphragmatic tear. This case demonstrates the importance of considering the diagnosis in all cases of blunt trauma of the trunk. It also illustrates the rare possibility of herniation of kidney through the diaphragmatic tear.

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“…The majority of diaphragmatic hernias occur on the left side. One study found that 75% of diaphragmatic hernias occur on the left side [7], while another study reports that as high as 88-95% of diaphragmatic ruptures occur are left-sided [8]. This is likely secondary to the relative protection of the right diaphragm by the liver [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

A Case of Traumatic Hepatothorax

Bf¹,

Lm²

2015

Emerg Med (Los Angel)

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Diaphragmatic injury from trauma is potentially fatal, and unfortunately initial diagnosis of traumatic diaphragmatic rupture is often missed in the acute setting. Radiographs may not show immediate herniation of abdominal contents indicating a defect in the diaphragm, and computed tomography is not always performed on trauma patients presenting without signs of abdominal pathology. Right-sided rupture occurs much less frequently than left-sided injuries, which is attributed to relative protection of the right hemi-diaphragm by the liver. The incidence of herniation of intra-abdominal contents is low, but when present can lead to severe morbidity from obstruction or strangulation of viscera. Because of the delay between diaphragmatic injury and diagnosis, patients often present with nonspecific symptoms, making identifying the correct diagnosis challenging. Definitive treatment involves surgical repair of the diaphragm, either through a thoracic or abdominal approach. We present the case of a patient found to have rightsided diaphragmatic rupture and hepatothorax two years after the inciting trauma.

show abstract

Rupture of the diaphragm after blunt trauma

Cited by 70 publications

References 19 publications

The Anatomy Heresies Continued VI

The Anatomy Heresies Continued VI

Delayed Presentation of Traumatic Diaphragmatic Rupture with Herniation of the Left Kidney and Bowel Loops

A Case of Traumatic Hepatothorax

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