The spectrum of diaphragmatic injury in a busy metropolitan surgical service

Delayed presentation of posttraumatic diaphragmatic hernia

“…However, in some patients, there is risk of missing the diagnosis even in the operation. [7,8] In recent decades, with the institution of nonoperative management, the diagnosis rather depends on a high level of suspicion and sophisticated diagnostic modalities. Unrecognized patients with diaphragmatic injury may present later in life with a great variety of symptoms ranging from vague dyspepsia and dyspnea to incarceration and perforation due to herniated abdominal organs into the thoracic cavity.…”

Traumatic diaphragmatic injuries: a retrospective review of a 12-year experience at a tertiary trauma centre

“…(4) Similar to other reports, we found that the left hemidiaphragm was more frequently injured. (12,13) This is partly due to the buffering effect of the liver on the right side (14,15) and partly on account of the greater inherent resistance of the right hemidiaphragm relative to the left. (16,17) Blunt trauma was the most common mechanism of injury in our study, as has been reported in other developed countries.…”

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

“…Some authors believe that with the technological evolution of imaging tests, it is possible to perform a greater number of TDR diagnoses 2 , but other authors believe that it is possible to reduce false-negative diagnoses only with video-laparoscopy or video-thoracoscopy 3 . Some authors report that the diagnosis of TDR is still neglected even in the intraoperative laparotomies 4,5 .…”