Rupture of the Diaphragm Due to Blunt Trauma

Imaging hemidiaphragmatic injury

“…A congenital weakness existing along the embryonic fusion of the costal and lumbar parts of the diaphragm predisposes this site to injury [27,28]. Blunt left-sided hemidiaphragmatic injuries are usually located at the postero-lateral aspect of the hemidiaphragm between the spleen and the abdominal aorta and extend medially in a radial orientation towards the central tendon.…”

Brown Nail-bed Arcs and Chronic Renal Disease

“…Others remain asymptomatic and are found in the course of routine x-ray examination of the chest. Hernias of the Bochdalek type presenting in later life should be differentiated from traumatic diaphragmatic hemias where the defect, although commonly posterolateral, is due to a tear in the diaphragm (Lucido and Wall, 1963;Robb, 1963;Myers, 1964). In a case reported by Fromm and Lucas (1971) it was stated that a previously normal chest x-ray picture was one factor which precluded the possibility of a congenital Bochdalek hernia.…”

Chronic diaphragmatic hernia

“…1 With blunt chest injury, the diaphragmatic ruptures occur in a congenitally weak area in the posterior portion of the diaphragm in the area of transition between the costal and lumbar portions. 2 The cause of chronic diaphragamatic herniation by either silent diaphragmatic rupture or a congenital diaphragmatic defect was unclear based on the operative fi ndings of the diaphragmatic hernia portion and minimal pleural adhesion in our patients. 3 The diagnosis of chronic diaphragmatic hernia is frequently diffi cult, especially when the patient has no previous record of hospitalization due to chest injury.…”