[Traumatic diaphragmatic hernia].
Five cases of traumatic diaphragmatic hernia were reported and 495 cases reported in Japan were reviewed. Analysis of cases of hernia following blunt trauma in the present study provided a simple classification of fissure of the diaphragm, i.e., "tension type (indirect type)" and "impact type (direct type)". In the former type, the fissure occurs in the central tendon or its vicinity in the diaphragm as a result of distortion of the bony thorax without direct force on the diaphragm, while in the latter type, the fissure occurs in the diaphragm close to the struck bony thorax as a result of blunt force on the bony thorax to which the diaphragm is attached.
K
K
Tsukioka
T
T
Tokuhara
H
H
Koizumi
K
K
Mizukami
H
H
Muramatsu
S
S
Fuknda
K
K
Unno
S
S
Hirata
H
H
Ichikawa
D000328:Adult; D003964:Diaphragm / Q000293:injuries; D006549:Hernia, Diaphragmatic, Traumatic / Q000209:etiology*; D006801:Humans; D008297:Male; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications