Traumatic Diaphragmatic Injuries

Scharff, James R.; Naunheim, Keith S.

doi:10.1016/j.thorsurg.2007.03.006

Cited by 103 publications

(84 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Penetrating injuries such as gunshot or stab wounds resulted in direct diaphragmatic rupture with small holes (<1 cm), which are often missed or difficult to diagnose [6]. Notably, bilateral diaphragmatic tear and extension into the central tendon are rare and are often identified in patient with severe thoracoabdominal injuries [7].…”

Section: Introductionmentioning

confidence: 99%

Descriptive Analysis of Right and Left-sided Traumatic Diaphragmatic Injuries; Case Series from a Single Institution

Al-Thani

Jabbour

El‐Menyar

et al. 2018

BEAT

View full text Add to dashboard Cite

Objective: To investigate the presentation, management and outcomes of left and right-sided traumatic diaphragmatic injury (TDI) in a single level I trauma center. Methods: This cross-sectional study was conducted during a 7-year period from 2008 to 2015 in a level I trauma center in Qatar. We included all the patients who presented with TDIs during the study period. Data included demographics, mechanism of injury, associated injuries, initial vitals, emergency department disposition, length of ICU and hospital stay, ventilator days, management, and outcomes. The variables were analyzed and compared for patients with left (LTDI) and right (RTDI). Results: A total of 52 TDI cases (79% LTDI and 21% RTDI) were identified with a mean age of 31±11. LTDI patients were more likely to have higher Injury severity scores (p=0.50) and greater AAST organ injury scoring (p=0.661 for all) than RTDI patients. Surgical repair was performed for 85% LTDI vs. 73% RTDI (p= 0.342). Recurrent DIs was reported only in LTDI (5.1% vs. 0.0%; p=0.911). Twelve patients died (9 LTDI and 3 RTDI), of them 5 had associated head injury. Conclusion: This single-institution study confirms that LTDI are more commonly diagnosed than RTDI. Exploratory laparotomy is the most frequent procedure considered for the management of diaphragmatic injuries in the emergency settings. To improve outcomes in patients presenting with TDI, large prospective multicenter studies are needed to standardize the TDI management protocols including the diagnostic workup, timing of surgical intervention, and the most appropriate approach of treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Descriptive Analysis of Right and Left-sided Traumatic Diaphragmatic Injuries; Case Series from a Single Institution

Al-Thani

Jabbour

El‐Menyar

et al. 2018

BEAT

View full text Add to dashboard Cite

show abstract

“…DI may be associated with herniation of the stomach, small bowel, colon, spleen, liver or omentum. 7 According to the duration of injury, diaphragmatic rupture can be categorized into one of three groups (early or acute, i.e. immediately or within 14 days post-injury; latent, diagnosed after acute injury but before intestinal obstruction or strangulation; late, where correct diagnosis is established with intestinal obstruction or strangulation).…”

Section: Discussionmentioning

confidence: 99%

Traumatic diaphragmatic injury: case report

Ray¹,

Burad²,

Kumar³

2016

Int Surg J

View full text Add to dashboard Cite

“…These characteristics may have pivotal effects on the signs and symptoms at admission and on the selection of methods for diagnostic evaluation and surgical intervention [7]. Diaphragmatic ruptures usually result from penetrating or blunt trauma.…”

Section: Discussionmentioning

confidence: 99%

Original article An extremely rare clinical condition: isolated post-traumatic diaphragmatic injuries

Taskesen¹,

Arıkanoğlu²,

Önder³

et al. 2012

View full text Add to dashboard Cite

Aim: Isolated post-traumatic diaphragmatic injuries are observed less commonly, and the preoperative diagnosis is difficult to make. Material and methods: Thirteen patients with post-traumatic isolated diaphragmatic injury were treated in our department between January 2005 and June 2011. Age, sex, the cause, the location, the size of rupture, the severity of organ injury, the surgical materials used for repair, the associated morbidity and mortality, and the duration of hospitalization were all evaluated. Results: There were 12 male patients (92.3%) and 1 female patient (7.7%) with an overall mean age of 28.76 years (range: 15-55 years). Blunt trauma was responsible for the injuries in 4 patients (30.8%), while 9 patients (69.2%) had penetrating injuries. The diagnosis was established preoperatively in all patients (100%) via a plain chest X-ray and/or a computed tomography (CT) scan. The location of rupture was on the left side of the diaphragm in 12 patients (92.3%) and on the right side in 1 (7.7%). Isolated post-traumatic diaphragmatic rupture was repaired with interrupted nonabsorbable sutures or polypropylene mesh. Postoperative complications were observed in 2 patients (15.3%). Mortality did not occur in any of our patients. Conclusions: A meticulous physical examination and obtaining a chest X-ray should be the first steps to be taken in patients with suspicious isolated post-traumatic diaphragmatic rupture. In case of uncertainty in diagnosis, advanced modalities such as CT, ultrasonography, and magnetic resonance imaging should be utilized.

show abstract

Traumatic Diaphragmatic Injuries

Cited by 103 publications

References 15 publications

Descriptive Analysis of Right and Left-sided Traumatic Diaphragmatic Injuries; Case Series from a Single Institution

Descriptive Analysis of Right and Left-sided Traumatic Diaphragmatic Injuries; Case Series from a Single Institution

Traumatic diaphragmatic injury: case report

Original article An extremely rare clinical condition: isolated post-traumatic diaphragmatic injuries

Contact Info

Product

Resources

About