Blunt traumatic rupture of the diaphragm : study of 33 cases
Joint Authors
al-Jalabi, Firas M.
al-Jalabi, Firas M.
Source
Annals of the College of Medicine Mosul
Issue
Vol. 32, Issue 1-2 (31 Dec. 2006), pp.1-6, 6 p.
Publisher
University of Mosul College of Medicine-Mosul
Publication Date
2006-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Abstract EN
Objective: to assess the role of clinical manifestations and radiological findings in the early recognition and diagnosis of blunt diaphragmatic rupture, with determination of the operative findings during surgical intervention.
Design: a prospective case series study.
Setting: Al-Jamhori Teaching Hospital in Mosul, during the period July 1999-June 2004.
Participants: thirty three (33) patients with blunt traumatic rupture of the diaphragm proved by surgery.
Results: three quarters of the blunt diaphragmatic rupture were caused by motor vehicle accidents, 91% of the patients had respiratory embarrassment.
Only 27.2% of the patients were diagnosed by chest x-ray, the remaining 72.8% were discovered during laparotomy.
The left dome of the diaphragm was ruptured in 75.8%, whereas herniation of the abdominal viscera into the chest was found in 45.8%.
Concomitant intra-abdominal injury was found in 84.8% of the patients.
The mortality is sharply increased when the right dome of the diaphragm is ruptured.Conclusion: the clinical features may be masked by other chest or abdominal injuries.
Chest-x ray is a reliable test to diagnose diaphragmatic rupture.
The left hemi-diaphragm is more commonly injured; in addition concomitant intra- abdominal injuries are very common.
A meticulous inspection of the diaphragm should be undertaken during all exploratory laparotomies for trauma.
American Psychological Association (APA)
al-Jalabi, Firas M.& al-Jalabi, Firas M.. 2006. Blunt traumatic rupture of the diaphragm : study of 33 cases. Annals of the College of Medicine Mosul،Vol. 32, no. 1-2, pp.1-6.
https://search.emarefa.net/detail/BIM-350860
Modern Language Association (MLA)
al-Jalabi, Firas M.& al-Jalabi, Firas M.. Blunt traumatic rupture of the diaphragm : study of 33 cases. Annals of the College of Medicine Mosul Vol. 32, no. 1-2 (2006), pp.1-6.
https://search.emarefa.net/detail/BIM-350860
American Medical Association (AMA)
al-Jalabi, Firas M.& al-Jalabi, Firas M.. Blunt traumatic rupture of the diaphragm : study of 33 cases. Annals of the College of Medicine Mosul. 2006. Vol. 32, no. 1-2, pp.1-6.
https://search.emarefa.net/detail/BIM-350860
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-350860