Blunt traumatic diaphragmatic rupture

  • Antonio Carlos Nogueira Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, Brasil
  • Munir Bazzi Instituto de Infectologia Emílio Ribas
  • Francisco Garcia Soriano Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, Brasil
  • Haydée Jordão Hospital das Clínicas da Faculdade de Medicina da USP
  • Sueli Vieira Lopes Hospital das Clínicas da Faculdade de Medicina da USP
  • Sebastião Pontes Hospital das Clínicas da Faculdade de Medicina da USP
  • Ana Carolina Makino Antunes Divisão de Clínica Cirúrgica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil
  • João Augusto dos Santos Martines Serviço de Imagenologia do Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil
Keywords: Diaphragm, Hernia, Laparotomy, Wounds and injuries.

Abstract

Traumatic injury of the diaphragm ranges from 0.6 to 1.2% and rise up to 5%
among patients who were victims of blunt trauma and underwent laparotomy.
Clinical suspicion associated with radiological assessment contributes to early
diagnosis. Isolated diaphragmatic injury has a good prognosis. Generally
worse outcomes are associated with other trauma injuries. Bilateral and
right diaphragmatic lesions have worse prognosis. Multi detector computed tomography (MDCT) scan of the chest and abdomen provides better diagnostic
accuracy using the possibility of image multiplanar reconstruction. Surgical
repair via laparotomy and/ or thoracotomy in the acute phase of the injury has
a better outcome and avoids chronic complications of diaphragmatic hernia.
The authors present the case of a young male patient, victim of blunt abdominal
trauma due to motor vehicle accident with rupture of the diaphragm, spleen
and kidney injuries. The diagnosis was made by computed tomography of the
thorax and abdomen and was confirmed during laparotomy.

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Published
2011-09-29
How to Cite
Nogueira, A., Bazzi, M., Soriano, F., Jordão, H., Lopes, S., Pontes, S., Antunes, A., & Martines, J. (2011). Blunt traumatic diaphragmatic rupture. Autopsy and Case Reports, 1(3), 39-45. https://doi.org/10.4322/acr.%y.26066
Section
Article / Clinical Case Report