• Ulus Travma Acil Cer · Oct 2003

    [Diaphragmatic rupture in abdominal trauma].

    • Celalettin Vatansev, Faruk Aksoy, Sakir Tekin, Ahmet Tekin, Metin Belviranli, and Adnan Kaynak.
    • Selçuk University, Medical Faculty, Department of Surgery, Konya, Turkey. cvatansev@hotmail.com
    • Ulus Travma Acil Cer. 2003 Oct 1; 9 (4): 285-90.

    BackgroundThe aim of the study is to evaluate the patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma.MethodsThirty-eight patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma were investigated retrospectively.ResultsThe average age was 41,72 and there were 31 male and seven female patients. The injury forms were penetrating trauma in 22 (58%) and blunt trauma in 16 (42%) cases. Associated abdominal organ injuries were found in 27 (71%) cases. Among 47 diaphragmatic ruptures, 27 (57%) were on the left and 20 (43%) were on the right side. The average diameter of the rupture was 5,45 (1-20) cm. Management of the diaphragmatic rupture and other associated organ injuries were accomplished through laparotomy. Morbidity was developed in 18 cases and mortality in four cases with associated abdominal organ injuries.ConclusionDiaphragmatic rupture results in high morbidity and mortality due to associated organ injuries.

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