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:: Volume 16, Issue 2 (Iranian South Medical Journal 2013) ::
Iran South Med J 2013, 16(2): 156-163 Back to browse issues page
Traumatic diaphragmatic rupture: a common missed diagnosis
Mohammad Moazeni Bistgani
Department of Surgery, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IRAN , drmoazeni@skums.ac.ir
Abstract:   (34300 Views)

Traumatic diaphragmatic rupture (TDR) is a life-threatening condition that is quite uncommon and often results from either blunt or penetrating trauma. This entity may be diagnosed late. The purpose of study was to review experiences about diaphragmatic rupture and diagnostic defects that would be helpful in rapid diagnosis and treatment of these patients. A retrospective case note analysis was performed on the five patients treated for TDR between October 1997 and October 2011.Five patients (4 men and 1 woman) between 13 and 63years of age (mean age 37) were included in the study. Total five cases had diaphragmatic rupture in left side. One patient had penetrating injuries and 4 patients had blunt injuries. The diagnosis was done preoperatively in 3 cases and postoperatively in 2 cases. As a consequence in 2cases TDR had not been diagnosed even by intraoperative exploration in others centers. In four cases, the diagnosis was delayed from three days to four years. TDR is a relative uncommon event and represents a diagnostic challenge and It also may be missed during operation. A high index of suspicion combined with repeated and selective radiologic evaluation, thorough examination of abdomen and both the hemi diaphragms during emergency laparotomy can help surgeons in accurate diagnosis.

Keywords: diaphragmatic rupture, penetrating trauma, blunt trauma, delayed diagnosis
Full-Text [PDF 301 kb]   (2009 Downloads)    
Type of Study: Original | Subject: General
Received: 2012/02/24 | Accepted: 2012/05/6 | Published: 2013/04/29
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Moazeni Bistgani M. Traumatic diaphragmatic rupture: a common missed diagnosis . Iran South Med J. 2013; 16 (2) :156-163
URL: http://ismj.bpums.ac.ir/article-1-424-en.html


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Volume 16, Issue 2 (Iranian South Medical Journal 2013) Back to browse issues page
دانشگاه علوم پزشکی بوشهر، طب جنوب ISMJ

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