title: [Rupture of the diaphragm in closed traumas: apropos of 28 cases].
abstract: Twenty-eight cases of ruptured diaphragm due to blunt trauma are reported, including three with rupture on the right. Most of the patients were young men and rupture was an isolated lesion in only 6 patients, all others having multiple trauma. One patient died during surgery (3.6%) and complications, mostly respiratory, occurred in 17 patients (60.7%). Mid-term functional digestive and respiratory sequellae were evaluated. The gravity of ruptured diaphragm is basically related to the severity of the trauma and associated lesions. The diagnosis remains unrecognized in an important number of cases emphasizing the importance of repeated chest X-rays.
authors.affiliation: Service de Chirurgie Générale, C.H.R. de Rennes.
authors.forename: J P
authors.initials: JP
authors.lastname: Letoquart
authors.forename: N
authors.initials: N
authors.lastname: Kunin
authors.forename: D
authors.initials: D
authors.lastname: Lechaux
authors.forename: O
authors.initials: O
authors.lastname: Gerard
authors.forename: N
authors.initials: N
authors.lastname: Morcet
authors.forename: A
authors.initials: A
authors.lastname: Mambrini
mesh_terms: D000007:Abdominal Injuries / Q000453:epidemiology / Q000601:surgery*; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009104:Multiple Trauma / Q000453:epidemiology / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D012422:Rupture, Spontaneous