Review of traumatic diaphragmatic hernia associated with pelvis fractures.
OBJECTIVE
To review the epidemiological feature, clinical and diagnostic data of post-traumatic diaphragmatic hernia (TDH) associated with pelvis fracture reported in recent 10 years.


METHODS
A 10-year retrospective study was undertaken to analyze the incidence, diagnosis, management, morbidity and mortality of patients with traumatic diaphragmatic hernia associated with pelvis fractures. A total of 46 cases in our country were reviewed.


RESULTS
The incidence of TDH associated with pelvis fractures was relatively rare and the diagnosis was often delayed or missed. A total of 72.34% of these patients were diagnosed as TDH associated with pelvis fractures after injury for 36 hours to 1 week. Although the trans-thorax approach was preferred for surgical closure in the acute phase, its mortality still reached 8.51%.


CONCLUSIONS
TDH associated with pelvis fractures is difficult to be diagnosed because of its varied clinical and radiological signs and the patients may not present with symptoms for a long time after injury. In clinical, a high index of suspicion with appropriate examination is the mainstay of management, which can be helpful in prognosis.
Department of Orthopedics, First Hospital of Shanxi Medical University, Taiyuan 030001, China. douwu0656@sina.com.cn
Dou
D
Wu
Qiang
Q
Liu
Shu-Feng
SF
Han
D000328:Adult; D002681:China / Q000453:epidemiology; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology* / Q000628:therapy; D006548:Hernia, Diaphragmatic / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000293:injuries* / Q000473:pathology; D012189:Retrospective Studies; D012421:Rupture / Q000628:therapy