Penetrating and blunt diaphragmatic injuries.
OBJECTIVE
The purpose of this study is to analyze the ruptured diaphragm retrospectively in regard to mechanism of injury, diagnosis and treatment; and to discuss the difficulties in their diagnosis.


METHODS
Thirty patients were included in the study and the study was carried out at Al-Yarmouk Teaching Hospital, Baghdad, Iraq, over a 9 year period (1992-2001). Their demographic data, diagnosis and treatment were recorded.


RESULTS
Twenty-one patient had civilian penetrating injuries, while 9 suffered blunt trauma. Young males were the predominant victims. Three cases of the blunt trauma group had a delayed diagnosis, (2 after repeated chest radiography and one after Ba meal).


CONCLUSIONS
The preoperative diagnosis of diaphragmatic injuries is difficult. Most cases are diagnosed during exploration for associated injuries. The case is more difficult after blunt trauma. Repeated chest radiography and gastrointestinal contrast studies can be used for the diagnosis.
Jabbo
Najeeb S
NS
Department of Surgery, Al-Mustansiryah Medical College, Baghdad, Iraq. najeeb.sur@warkaa.net
D000293:Adolescent; D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000601:surgery