Rupture of the right hemidiaphragm following blunt trauma: The use of ultrasound in diagnosis

Somers, John; Gleeson, F V; Flower, C. D. R.

doi:10.1016/s0009-9260(05)82076-8

Cited by 41 publications

(13 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This examination also has the advantage of suspecting a lesion of the aortic isthmus in front of an enlargement of the mediastinum. Transthoracic ultrasound can confirm the diagnosis by visualizing the intrathoracic herniated organs [5].…”

Section: Discussionmentioning

confidence: 99%

The rupture of the diaphragm: Case report

Ekuke¹,

Jamal²,

Bouhaddouti³

2018

Journal of Surgery and Medicine

View full text Add to dashboard Cite

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractDiaphragmatic ruptures represent a rare but potentially serious clinical entity that is often integrated into polytrauma. We report a case of left diaphragmatic rupture, discovered twenty days after an accident on the public highway. For the diagnosis, it is necessary to insist on the body scan, whose sensitivity is undoubtedly less than that of other more specific examinations, but which is easily interpretable and accessible in most emergency centers. The order of surgical management is taken at clinical examination, and before the existence of an abdominal emergency. Keywords: Diaphragmatic rupture, Body scansÖz Diyafragma rüptürleri, sıklıkla politravmaya entegre olan nadir fakat potansiyel olarak ciddi bir klinik durumu temsil eder. Karayolu üzerinde meydana gelen bir kazadan yirmi gün sonra ortaya çıkan bir sol diyafragma rüptürü vakasını sunduk. Teşhis için, vücudun taramasında ısrar etmek gerekir; hassasiyeti diğer özel muayene tekniklerinden daha azdır, ancak çoğu acil merkezde kolayca yorumlanabilir ve erişilebilirdir. Cerrahi tedavi sırası, klinik muayenede ve bir abdominal acil durum varlığına göre önceye alınır.

show abstract

Section: Discussionmentioning

confidence: 99%

The rupture of the diaphragm: Case report

Ekuke¹,

Jamal²,

Bouhaddouti³

2018

Journal of Surgery and Medicine

View full text Add to dashboard Cite

show abstract

“…15 Right-sided diaphragmatic rupture has been successfully diagnosed by magnetic resonance imaging (MRI), ultrasound, and technetium scanning. [16][17][18] The best surgical approach is ultimately determined by the presence of any associated injuries. In the absence of a definitive diagnosis of diaphragmatic injury, the decision about the best approach to take is difficult.…”

Section: Discussionmentioning

confidence: 99%

Delayed Discovery of Diaphragmatic Injury After Blunt Trauma: Report of Three Cases

et al. 2005

View full text Add to dashboard Cite

Blunt diaphragmatic injury is an increasingly common occurrence, frequently associated with considerable comorbidity. This injury is often missed at the time of the initial event, but may present some time later. We report three cases of diaphragmatic injury diagnosed 3 weeks, 6 months, and 12 years after the original diaphragmatic injury, respectively. Two of the injuries resulted from side-impact road traffic accidents and one followed a fall from a height. Gastrointestinal obstruction and respiratory compromise were the major presenting symptoms. All three patients were managed with a thoracotomy and the defect was closed without the need for prosthetic mesh. They all recovered uneventfully and have remained well since.

show abstract

“…Diagnosis of injury is suggested by a DEDL, bowel peristalsis in the chest indicating visceral herniation, or free-flapping wound edges in a fluid collection. [18][19][20] However, since most injuries diagnosed immediately are repaired, ultrasonographic characteristics of long-term untreated injury have never been reported. In our model, ultrasonography identified diaphragm injury in the trauma and long-term settings.…”

Section: Postmortem Examinationmentioning

confidence: 99%

“…These findings are consistent with clinical ultrasonographic descriptions of penetrating diaphragmatic injury. [18][19][20] Moreover, in 4 of the animals whose injuries subsequently healed, ultrasonography identified the area of injury as a DEDL in the early examinations (2 weeks postoperatively) and as abnormal contour or attenuation of the echogenic line in the later examinations (4-8 weeks postoperatively). A DEDL most likely represents separation in the diaphragm surface, while attenuation and abnormal contour of the echogenic line most likely represent an intact, healed diaphragmatic wound.…”

Section: Postmortem Examinationmentioning

confidence: 99%