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http://dx.doi.org/10.4046/trd.2009.66.3.241

Delayed Diagnosis of a Traumatic Diaphragmatic Injury  

Park, Seon-Wook (Department of Internal Medicine, Hallym University College of Medicine)
Kim, Cheol-Hong (Department of Internal Medicine, Hallym University College of Medicine)
Kim, Ji-Youn (Department of Internal Medicine, Hallym University College of Medicine)
Lee, Seung-Hwa (Department of Internal Medicine, Hallym University College of Medicine)
Kim, Young-Wook (Department of Internal Medicine, Hallym University College of Medicine)
Hyun, In-Gyu (Department of Internal Medicine, Hallym University College of Medicine)
Shin, Ho-Seung (Department of Thoracic and Cardiovascular Surgery, Hallym University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.66, no.3, 2009 , pp. 241-245 More about this Journal
Abstract
Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.
Keywords
Diaphragm; Injury; Trauma;
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1 Rappaport WD, Lee S, Coates S, McIntyre K. Diagnosis of diaphragmatic injury using intraperitoneal technetium. Am Surg 1989;55:621-4   PUBMED
2 Kim YW, Ah SH, Ryu SY, Kim HY, Jeon BM. Clinical evaluation of traumatic diaphragmatic injury. J Korean Soc Traumatol 2001;14:108-18
3 Ceron Navarro J, Penalver Cuesta JC, Padilla Alarcon J, Jorda Aragon C, Escriva Peiro J, Calvo Medina V, et al. Traumatic rupture of the diaphragm. Arch Bronconeumol 2008;44:197-203   DOI   PUBMED
4 Kozak O, Mentes O, Harlak A, Yigit T, Kilbas Z, Aslan I, et al. Late presentation of blunt right diaphragmatic rupture (hepatic hernia). Am J Emerg Med 2008;26: 638.e3-5   DOI
5 Sadeghi N, Nicaise N, DeBacker D, Struyven J, Van Gansbeke D. Right diaphragmatic rupture and hepatic hernia: an indirect sign on computed tomography. Eur Radiol 1999;9:972-4   DOI   ScienceOn
6 Brandt ML, Luks FI, Spigland NA, DiLorenzo M, Laberge JM, Ouimet A. Diaphragmatic injury in children. J Trauma 1992;32:298-301   DOI   PUBMED
7 Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg 1995;60:1444-9   DOI   ScienceOn
8 Athanassiadi K, Kalavrouziotis G, Athanassiou M, Vernikos P, Skrekas G, Poultsidi A, et al. Blunt diaphragmatic rupture. Eur J Cardiothorac Surg 1999;15: 469-74   DOI   ScienceOn
9 Crandall M, Popowich D, Shapiro M, West M. Posttraumatic hernias: historical overview and review of the literature. Am Surg 2007;73:845-50   PUBMED
10 Reber PU, Schmied B, Seiler CA, Baer HU, Patel AG, Buhler MW. Missed diaphragmatic injuries and their long-term sequelae. J Trauma 1998;44:183-8   DOI   ScienceOn
11 Goh BK, Wong AS, Tay KH, Hoe MN. Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarceration and perforation after apparently minor blunt trauma. CJEM 2004;6:277-80
12 Matsevych OY. Blunt diaphragmatic rupture: four year's experience. Hernia 2008;12:73-8   DOI   PUBMED   ScienceOn
13 Flancbaum L, Dauber M, Demas C, Boyarsky AH, Trooskin SZ. Early diagnosis and treatment of blunt diaphragmatic injury. Am Surg 1988;54:195-9   PUBMED
14 Park SS, Kang JG, Chung JM. Clinical review and evaluation of the blunt traumatic diaphragmatic injury. J Korean Soc Emerg Med 1997;8:217-27
15 Haciibrahimoglu G, Solak O, Olcmen A, Bedirhan MA, Solmazer N, Gurses A. Management of traumatic diaphragmatic rupture. Surg Today 2004;34:111-4   DOI   ScienceOn