Traumatic Diaphragmatic Rupture

Abstract

Abstract:To describe changes in the presentation, examination of the chest in patients withdiaphragmatic rupture, was reviewed to identify the difficulty in the diagnosis and treatmentof this injury. Between April 2006-and December 2012, 38-patients with traumaticdiaphragmatic rupture were treated, and analyzed demographic data , cause of injury, extentand location of the diaphragmatic lesion with herniated organs, were described the clinicalpresentation.Retrospective study of 38-cases, 36-male, 2-female, 37 cases left side, one case rightside. Main cause was penetrating injury 35-cases, blast injury (12), gunshot (16), stab (7).Blunt injury 3-cases, road traffic accident (2), post-operative damage and tear the diaphragm(1) case. Average age33-year, range (4-65years old).The diagnosis made by C-XR, C-T Scan,MRI, were grade of injury II-IV most common, associated injury stomach, spleen, bowel,kidney, retroperitoneal hematoma, liver. Repair through laparotomy and thoracotomy. Chestpain abdominal pain shock was the main presentation.The study showed the suspicion beside the radiological C-XR, C-T Scan are veryuseful in initial diagnostic approach to traumatic diaphragmatic rupture. The difficulty is thatdiaphragmatic injuries particularly after penetrating trauma may initially go unnoticed andwithout changes in the C-XR Images diagnosis is made difficult. Early diagnosed, treatmentreduces intra and postoperative morbidity and mortality.