Traumatic diaphragmatic rupture.
Twenty-three cases of traumatic diaphragmatic rupture due to blunt and penetrating trauma are reviewed. The need for early diagnosis is stressed. Chest radiography was the most sensitive diagnostic method (66% for blunt trauma), although other techniques are discussed. The high incidence of associated intra-abdominal injury (83%) mandates primary abdominal approach to repair. An overall mortality of 31% reflects the severity of the trauma.
Willsher
P C
PC
Department of Surgery, Box Hill Hospital, Victoria.
Cade
R J
RJ
D000007:Abdominal Injuries / Q000209:etiology; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D012189:Retrospective Studies; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000601:surgery