Traumatic diaphragmatic rupture in children.
BACKGROUND
We aimed to emphasize the importance of early diagnosis and treatment of traumatic diaphragmatic (TDR) rupture which is an uncommon but potentially life-threatening problem with a high incidence of associated injuries.


METHODS
We presented 8 children with traumatic diaphragmatic ruptures who were admitted to our department within a 13 year period after the incident. Relevant information about clinical and radiological findings herniated organs into the thorax, type of injury and applied surgical intervention and outcome of patients were evaluated so as to draw important clues leading to early diagnosis and treatment of this potentially life threatening condition with associated morbidities.


RESULTS
In five patients, TDR occurred after a blunt trauma. Five patients underwent laparotomy while 3 of them were managed with thoracotomy. The surgical interventions were performed successfully and only one patient failed to survive. One patient died of associated severe head injury.


CONCLUSIONS
The TDR in children could be promptly identified and easily diagnosed, only if this pathology is highly suspected. Since, TDR must be ruled out in all severe cases of trauma, information related to the experiences of various centers must be considered as important clues which might lead to earlier diagnosis and prompt treatment.
Sözübir
Selami
S
Kocaeli University, Department of Pediatric Surgery, Izmit, Turkey.
Tander
Burak
B
Bernay
Ferit
F
Aritürk
Ender
E
Rizalar
Riza
R
Gürses
Naci
N
D000293:Adolescent; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D008499:Medical Records; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D013908:Thoracotomy; D014421:Turkey / Q000453:epidemiology