Traumatic Diaphragmatic Hernia
- 1 January 1982
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 117 (1), 18-24
- https://doi.org/10.1001/archsurg.1982.01380250008002
Abstract
† The records of 36 patients with traumatic diaphragmatic hernia (TDH) were reviewed. In 14, acute hernias were diagnosed, but the diagnosis was made one month to 15 years after injury in 22 patients with chronic hernia. Seven acute TDHs were due to blunt and seven to penetrating trauma. Four chronic TDHs were due to blunt and 18 to penetrating trauma. Chest pain, abdominal pain, or dyspnea occurred in each acute case and in 18 of 22 chronic cases. Plain chest roentgenograms were abnormal in 33 of 36 cases. Pleural effusion or abnormal diaphragmatic contour were common abnormal findings. Supradiaphragmatic bowel, pathognomonic of TDH, was evident in seven acute and eight chronic hernias. Celiotomy was routinely employed in acute hernias, celiotomy or thoracotomy in chronic hernias. There were three deaths, two with associated CNS injury and one with chronic pulmonary disease. (Arch Surg 1982;117:18-24)This publication has 2 references indexed in Scilit:
- Blunt traumatic rupture of the diaphragmJournal Of Trauma-Injury Infection and Critical Care, 1979
- TRAUMATIC RUPTURE OF DIAPHRAGM - SURGICAL RECONSTRUCTION WITH SPECIAL REFERENCE TO DELAYED CLOSURE1977