title: Diagnostic process and management of diaphragmatic injuries: approach in patients with blunt and penetrating trauma.
abstract: BACKGROUND
  Diaphragmatic rupture is one of the most commonly missed injuries in trauma cases. Traditionally, laparotomy or thoracotomy has been the treatment of choice for this condition. We aimed to evaluate the diagnostic process in patients with diaphragmatic injuries (DIs) who were diagnosed with diaphragm rupture during the preoperative or intraoperative course together with morbidity and mortality rates.
  
  
  METHODS
  Sixteen patients with DIs were admitted to our department during the last seven-year period. Surgical procedure, accompanying injuries, duration of hospital stay, transfusion necessity, and morbidity and mortality rates were analyzed retrospectively.
  
  
  RESULTS
  In seven years, 16 patients were treated and followed-up for DI. Female/male ratio was 2/14. Fifteen patients were operated and one was treated conservatively. The mortality rate was 2/16.
  
  
  CONCLUSIONS
  DIs are being seen with increasing frequency in recent years. In patients with high Injury Severity Score (ISS), probability of DI should be taken into consideration.
authors.affiliation: 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. dratillacelik@yahoo.com
authors.forename: Atilla
authors.initials: A
authors.lastname: Celik
authors.forename: Ediz
authors.initials: E
authors.lastname: Altinli
authors.forename: Neşet
authors.initials: N
authors.lastname: Köksal
authors.forename: Kaslm
authors.initials: K
authors.lastname: Cağlayan
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Uzun
authors.forename: Doğan
authors.initials: D
authors.lastname: Erdoğan
authors.forename: Omer Faruk
authors.initials: OF
authors.lastname: Ozkan
mesh_terms: D000293:Adolescent; D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D014421:Turkey; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy