title: [Traumatic Injury of the Diaphragm].
abstract: Traumatic diaphragmatic injury (TDI) is relatively rare condition, and is associated with high rates of morbidity and mortality. TDI usually results from blunt trauma and penetrating trauma. The majority causes of blunt TDI are victims of motor vehicle accidents. The incidence rates of TDI is unknown because of it can be overlooked if it is unsuspected with non-specific radiological and clinical findings. The mortality rates associated with blunt and penetrating TDI are affected by the severity of concurrent organ injuries. The diagnoses of TDI are frequently missed in the post-traumatic assessment because of non-specific symptoms or physical findings. When the site of trauma is in the abdomen, there will be high rate of an intra-abdominal organ injury. Furthermore, when the site of trauma is in the chest, there will be the abdominal organ injury in 50%.Surgical operation should be performed as soon as possible for concomitant injuries. Diaphragmatic repair can be performed using laparotomy, thoracotomy, or both approaches. Primary suture of the diaphragm can be performed in the majority of TDI patients. The outcome of post TDI depends on concurrent organ injury. In case of emergency, it is important to take an appropriate diagnosis and treatment for any concomitant injuries.
authors.affiliation: Division of Chest Surgery, Department of Surgery, Showa University School of Medicine, Tokyo, Japan.
authors.forename: Mitsutaka
authors.initials: M
authors.lastname: Kadokura
mesh_terms: D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011379:Prognosis; D019616:Thoracic Surgical Procedures; D014057:Tomography, X-Ray Computed