Traumatic diaphragmatic hernia

Diaphragmatic rupture: a single-institution experience and review of the literature

“…[19] In the literature, mortality rates in patients with acute diaphragm injury differ from those in patients with delayed DH. [3,5,38] In our case series, delayed diagnosis and age were not factors affecting patient outcomes. Furthermore, the low mortality rate recorded (one patient) did not reveal a significant association between reported associated injuries and outcomes.…”

“…DH is an unusual condition; it occurs in 1%-7% of patients with DR following major blunt trauma and in 10%-15% of patients with penetrating trauma and DR. [3] Our case series describes 12 DHs: three DHs with delayed presentation, one DH due to SDR, and eight DHs detected after acute traumatic injury. The organs most commonly involved in leftsided DH are the stomach and colon (Table 3).…”

“…[1][2][3] DR diagnosis can be immediate or delayed after the main trauma. A different cause of DR is represented by spontaneous DR (SDR).…”

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

“…In particular, ruptures of the right diaphragm are very uncommon, with left diaphragmatic herniation representing more than 80% of the cases occurring after trauma [1,4]. Usually, the liver acts as a protection against migration of abdominal organs in the chest, but in rare cases, migration of the stomach, the intestine, and even, rarely, the liver itself may occur.…”

“…The early diagnosis of posttraumatic diaphragmatic lesions often is difficult, with the result that 30-50% of cases remain undiagnosed [4,5]. This is due to the lack of sensitivity and specificity of the radiographic exams.…”