Diaphragm injury

Czech version

Authors: Peter Tóth; Josef März
Authors‘ workplace: Surgical Department, Regional Hospital Karlovy Vary ; Oddělení chirurgie Karlovarské krajské nemocnice v Karlových Varech
Published in: Úraz chir. 24., 2016, č.4

Overview

Introduction:
Ruptures of the diaphragm are not frequent injuries, but they have an increasing incidence and we can tell, that their presence is a certain indicator of the severity of the injury. Originate mostly from blunt abdominal and chest trauma, they are often part of polytrauma and multiple injuries.

Case report:
In the following text we present three case reports of patients treated by us. Two of the ruptures were treated immidiately after injury. The third patient was presented with rupture of the diaphragm 31 years after from the injury.

Discussion:
Diaphragm injuries are infrequent, often difficult to diagnose and even overlooked yet, but its consequences can be a source of early or late complications. It is necessary to think about the diaphragm injury in abdominal and chest trauma.

Case words:
Diaphragm, rupture, diagnosis, treatment.

Sources

1. CARDA, M., ŠILLER, J., HAVLÍČEK, K. et al. Ruptura bránice – diagnostická úskalí a způsoby ošetření. Úraz chir. 2005, 13, 81–87. ISSN 1211-7080

2. FRANTZIDES, T., CARLSON, A. Laparoscopic repair of a penetrating injury to the diaphragm: A case report. J Laparoendosc Surg. 1994, 2, 153–156. ISSN 1092-6429

3. KLEIN., J., KRÁL, V., KOJECKÝ, Z. et al. Úskalí diagnostiky traumatické ruptury bránice. Úraz chir. 1999, 4, 6–10. ISSN 1211-7080

4. LUKÁČ, L., PLEVA, L. Poranění bránice – diagnostika a léčba Úraz chir. 1999, 7, 11–17. ISSN 1211-7080

5. SLIKER, W., Imaging of diaphragm injurie. Radiol Clin N Am. 2006, 44, 199–211.

6. STRAŠLIPKA, J., LUDVÍK, P. Traumatická ruptura bránice – kasuistika. Rozhl Chir. 2002, 81, 121–122. ISSN 0035-9351

7. TIBERIO, GAM., PORTOLANI, N., CONIGLIO, A. et al.Traumatic lesions of the diaphragm. Our experience in 33 cases and review of the literature. Acta chir belg. 2005, 105, 82–88.

8. VYHNÁNEK, F., FANTA, J., VACH, B. et al. Traumatická ruptura bránice u tupého poranění. Rozhl Chir. 2002, 81, 5. ISSN 0035-9351

Labels

Surgery Traumatology Trauma surgery

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Article was published in

Trauma Surgery

2016 Issue 4