[Diaphragmatic rupture in abdominal trauma].
BACKGROUND
The aim of the study is to evaluate the patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma.


METHODS
Thirty-eight patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma were investigated retrospectively.


RESULTS
The average age was 41,72 and there were 31 male and seven female patients. The injury forms were penetrating trauma in 22 (58%) and blunt trauma in 16 (42%) cases. Associated abdominal organ injuries were found in 27 (71%) cases. Among 47 diaphragmatic ruptures, 27 (57%) were on the left and 20 (43%) were on the right side. The average diameter of the rupture was 5,45 (1-20) cm. Management of the diaphragmatic rupture and other associated organ injuries were accomplished through laparotomy. Morbidity was developed in 18 cases and mortality in four cases with associated abdominal organ injuries.


CONCLUSIONS
Diaphragmatic rupture results in high morbidity and mortality due to associated organ injuries.
Vatansev
Celalettin
C
Selçuk University, Medical Faculty, Department of Surgery, Konya, Turkey. cvatansev@hotmail.com
Aksoy
Faruk
F
Tekin
Sakir
S
Tekin
Ahmet
A
Belviranli
Metin
M
Kaynak
Adnan
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D015601:Injury Severity Score; D010535:Laparoscopy; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011859:Radiography; D012189:Retrospective Studies; D012421:Rupture; D014421:Turkey / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000453:epidemiology / Q000209:etiology; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000209:etiology