title: [Post-traumatic diaphragmatic rupture. Report of 20 cases].
abstract: From 1977 to 1987, 20 patients (18 men and 2 women) with left post-traumatic diaphragmatic rupture, were managed by the General Surgery Service of the Hospital de Especialidades, Centro Médico de Occidente, IMSS; 13 as urgencies (65%) and 7 as elective procedures (35%). Hernia was due to closed trauma in 80% of the cases. Predominant symptoms were chest pain (85%) and dyspnea (50%). The Stomach was the herniated viscus in 16 instances. CXR showed suggestive data in 95% of the cases. Primary closure was achieved in 95% of the cases, in 8 patients thoraco-abdominal aproach was necessary. There were 50% morbidity (35% athelectasis, 30% wound sepsis) and 10% mortality rates.
authors.affiliation: Departamento de Cirugía General, Hospital de Especialidades, Centro Médico de Occidente, IMSS.
authors.forename: H
authors.initials: H
authors.lastname: Arenas-Márquez
authors.forename: R
authors.initials: R
authors.lastname: Antonio de Mucha Mora
authors.forename: J L
authors.initials: JL
authors.lastname: Gutiérrez de la Rosa
authors.forename: C
authors.initials: C
authors.lastname: Balderas Pérez
authors.forename: J
authors.initials: J
authors.lastname: Juárez Alcaraz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Ruptura diafragmática post-traumática. Reporte de 20 casos.