title: An easily overlooked cause of mortality in trauma: rupture of diaphragm.
abstract: BACKGROUND
  The purpose of our study was to share our experience in patients with traumatic diaphragmatic rupture.
  
  
  METHODS
  Patients underwent surgery for traumatic diaphragm rupture between 2005 and 2010 were reviewed.
  
  
  RESULTS
  There were sixty-two patients with traumatic diaphragm rupture. The mean age of the study group was 28.7 years (range 15-62 years). Diaphragmatic rupture was left sided in 43 patients (69%), right sided in 17 (28%) and bilateral in 2 (3%). Thoracotomy applied in 8 patients, laparotomy in 50, thoracoabdominal approach in 4. Mortality seen at 4 (6.4%) patients and hemorrhagic shock was the reason in two and pneumonia and sepsis in two.
  
  
  CONCLUSIONS
  Diaphragm ruptures are infreqent injuries, however, are easily overlooked due to mask effect of accompaning visceral injuries, and it should be kept in mind at lower thoracic or upper abdominal traumas to prompt and proper management to lower the risk of mortality.
  
  
  BACKGROUND
  Diaphragm rupture, Thoracoabdominal trauma, Treatment.
authors.forename: Fatih
authors.initials: F
authors.lastname: Taskesen
authors.forename: Zulfu
authors.initials: Z
authors.lastname: Arikanoglu
authors.forename: Abdullah
authors.initials: A
authors.lastname: Boyuk
authors.forename: Metehan
authors.initials: M
authors.lastname: Gumus
authors.forename: Ahmet Cinar
authors.initials: AC
authors.lastname: Yasti
authors.forename: Akin
authors.initials: A
authors.lastname: Onder
authors.forename: Murat
authors.initials: M
authors.lastname: Kapan
mesh_terms: D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012421:Rupture / Q000401:mortality; D014949:Wounds, Nonpenetrating / Q000401:mortality*; D014950:Wounds, Penetrating / Q000401:mortality*; D055815:Young Adult