[Traumatic diaphragmatic rupture].
Traumatic diaphragmatic rupture is an infrequent lesion that can result from penetrating or blunt trauma to the abdomen or chest. Early diagnosis continues to be a challenge and this type of injury is associated with high morbidity and mortality. Preoperative diagnosis is difficult and a high level of suspicion, careful scrutiny of the chest x-ray, and early surgical treatment are required for successful management. We present a case of rupture of the left hemidiaphragm that was diagnosed and treated successfully within the first few hours. We also review the literature on controversial issues in the diagnosis and treatment of this injury.
García-Navarro
Ana
A
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen de las Nieves, Granada, España. ana08279@yahoo.es
Villar-Del Moral
Jesús María
JM
Muffak-Granero
Karim
K
Palomeque-Jiménez
Antonio
A
Mansilla-Roselló
Alfonso
A
Garrote-Lara
Daniel
D
Ramia-Angel
José Manuel
JM
Ferrón-Orihuela
José Antonio
JA
D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D006801:Humans; D008297:Male; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*