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.
Wu
Dou
D
Department of Orthopedics, First Hospital of Shanxi Medical University, Taiyuan 030001, China. douwu0656@sina.com.cn
Liu
Qiang
Q
Han
Shu-Feng
SF
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