FACILITIES OF HELICAL CT IN DIAGNOSTIC OF DIAPHRAGMATIC INJURIES AND ITS CONSEQUENCES

Abstract

Diaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Acute traumatic rupture of diaphragm may be unrecognized and there is often a delay between the injury and the diagnosis. This article reviews the case reports of three patients. The first patient had a penetrating trauma of left diaphragm. The diagnosis was made 5 days later. The second patient had herniation with kidney, colon and intestine through the left diaphragmatic rupture. The third patient had right diaphragmatic rupture and herniation with hepar, сolon and stomach. Both cases were presented as early undiagnosed injuries.

References

  1. Crandall M, Popowich D, Shapiro M, West M. Posttraumatic hernias: historical overview and review of literature. Am Surg 2007; 73(9): 845-50.
  2. Sacco R, Quitadamo S, Rotolo N. Traumatic diaphragmatic rupture: personal experience. Acta biomed. 2003; 74: 713.
  3. Shah R, Sabanathan S, Mearns A. Traumatic rupture of the diaphragm. Ann Thorax Surg 1995; 60: 1444-9.
  4. Alimoglu O, Eryilmaz R, Sahin M, Ozsoy M. Delayed traumatic hernias presenting with strangulation. Hernia. 2004; 20: 25-28.
  5. Beal S, McKennan M. Blunt diaphragm rupture. A morbid injury. Arch Surg 1988; 123(7): 828-32.
  6. Wise L, Connors J, Hwang Y, Anderson C. Traumatic injuries to the diaphragm. J Trauma 1973; 13(11): 946-50.
  7. Reina A, Vidana E, Soriano P, et al. Traumatic intrapericardial diaphragmatic hernia: case report and literature review. Injury 2001; 32(2): 153-56.
  8. Killen K, Mirvis S, Shanmuganathan K. Helical CT of diaphragmatic rupture caused by blunt trau ma. Am J Roentgenol 1999; 173: 1611-16.
  9. Nchimi A, Szapiro D, Ghaye B. Helical CT of blunt diaphragmatic rupture. Am J Roentgenol 2005; 184: 24-30.
  10. Pross M, Manger T, Mirow L, et al. Laparoscopic management of a late-diagnosed major diaphragmatic rupture. J Laparoendosc Adv Surg Tech A 2000; 10(2): 111-14.
  11. Lomanto D, Poon PL, So J. et al. Thoracolaparoscopic repair of traumatic diaphragmatic rupture. Surg Endosc 2001; 15(3): 323.
  12. Goh B., Wong A., Tay K., Hoe M. Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarceration and perforation after apparently minor blunt trauma. Canadian Journal of Emergency Medicine 2004; 6(4): 277-80.
  13. Hanna W., Ferri L., Fata P., Razek T., Mulder D. The current status of traumatic diaphragmatic injury: Lessons learned from 105 patients over 13 years. Ann Thorac Surg. 2008; 85: 1044-8.
  14. Ramdass M., Kamal S., Paice A., Andrews B. Traumatic diaphragmatic herniation presenting as delayed tension faecopneumothorax. Emergency Medical Journal 2006; 7: 880-6.

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Copyright (c) 2014 Zvezdkina E.A., Lesnyak V.N., Belov M.A., Kochanova M.N.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 38032 от 11 ноября 2009 года.


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