Herniation of abdominal organs is present in 3–4% of people with abdominal trauma who present to a trauma center. Diaphragmatic injuries are present in 1–7% of people with significant blunt trauma and an average of 3% of abdominal injuries. [en.wikipedia.org]

Respiratory distress was the presenting feature in 10 cases [ 7, 11 – 13, 17, 21, 24 ]. Abdominal pain was the presenting feature in 3 cases [ 13, 17, 18 ]. [doi.org]

We have focussed on mechanism of injury, duration, presentation and site of injury, visceral herniation, investigations and different approaches for repair. [ncbi.nlm.nih.gov]

• Turkish

  Turkish Journal of Trauma and Emergency Surgery. 2006, 12 (1): 68-70. PubMed Google Scholar Rafi M, Marudanayagam R, Moorthy K, Yoong K: Delayed presentationof a diaphragmatic rupture as intra-thoracic gastric volvulus. [doi.org]

• Hunting

  Crossref, Medline, Google Scholar 16 Desser TS, Edwards B, Hunt S, Rosenberg J, Purtill MA, Jeffrey RB. The dangling diaphragm sign: sensitivity and comparison with existing CT signs of blunt traumatic diaphragmatic rupture. [pubs.rsna.org]

  Desser TS, Edwards B, Hunt S, Rosenberg J, Purtill MA, Jeffrey RB. The dangling diaphragm sign: Sensitivity and comparison with existing CT signs of blunt traumatic diaphragmatic rupture. Emerg Radiol 2010;17:37-44. 20. [ijri.org]

• Left Flank Pain

  He had a past history of fall at work 9 years ago and had then presented with left flank pain and chest pain on inspiration for 3 days. [doi.org]

• Pelvic Mass

  This report describes the diagnosis and management of a patient with a delayed presentation of a ruptured right hemidiaphragm after a laparotomy for a pelvic mass. [ncbi.nlm.nih.gov]

• Chronic Abdominal Pain

  A 40-year-old woman was admitted to our clinic because of chronic abdominal pain. Chest x-ray and computed tomography scan showed a migration of the large intestine into the left hemithorax. [ncbi.nlm.nih.gov]

• Recurrent Epigastric Pain

  He volunteered a history of recurrent epigastric pain in the past 3 years for which he received treatment for peptic ulcer disease with no significant relief of his symptoms. [afrjtrauma.com]

• Chest Pain

  We describe a case of an 18-year old patient admitted 2 hours after onset, presenting severe epigastric and left sided chest pain without any trauma history. [ncbi.nlm.nih.gov]

• Suggestibility

  They were asked first to formulate a diagnosis in terms of absence of, presence of, or suggestion of blunt diaphragmatic rupture and then to enumerate the findings supporting a diagnosis or suggestion of blunt diaphragmatic rupture. [ncbi.nlm.nih.gov]

• Distractibility

  […] diaphragmatic injuries, especially those on the right side, most frequently have remained undiagnosed on CT during the initial survey of major trauma patients. [3] The explanations for incorrect CT interpretations include the usually associated and distracting [lungindia.com]

• Neglect

  During the last 2 years, we treated three patients laparoscopically to address neglected diaphragmatic ruptures that caused herniation of the intraabdominal contents. [ncbi.nlm.nih.gov]

These ruptures may be recognized at the time of the initial trauma, but are diagnosed months or even years later during the workup for related symptoms. [ncbi.nlm.nih.gov]

• Left Pleural Effusion

  The left posterior costophrenic sulcus was interrupted in all of the three patients with left pleural effusion. While it was associated with other findings of diaphragmatic injury, the "sinus cut-off sign" was the sole finding in one patient. [ncbi.nlm.nih.gov]

  A computed tomography (CT) of the chest revealed a moderate left pleural effusion, compression of the left lung, and a rounded air-fluid cavity anteriorly (Figure 2A). [appliedradiology.com]

  Sinus cut-off sign" occurs in the presence of blunt diaphragmatic hernia with pleural effusion and is a variant of dependent viscera sign. [ijri.org]

• X-Ray Abnormal

  Home » Tutorials » Chest X-ray Tutorials » Chest X-ray Abnormalities » Introduction » 1 2 3 4 5 6 7 8 9 10 11 » Conclusion Key points Do not miss a pneumoperitoneum An obscured hemidiaphragm may be due to adjacent lung disease An abnormal diaphragm position [radiologymasterclass.co.uk]

• Chest X-Ray Abnormal

  Home » Tutorials » Chest X-ray Tutorials » Chest X-ray Abnormalities » Introduction » 1 2 3 4 5 6 7 8 9 10 11 » Conclusion Key points Do not miss a pneumoperitoneum An obscured hemidiaphragm may be due to adjacent lung disease An abnormal diaphragm position [radiologymasterclass.co.uk]

• Left Diaphragmatic Elevation

  He complained of a left sided thoraco-abdominal pain with breathing difficulties. Chest X-ray showed a left diaphragmatic elevation. [ncbi.nlm.nih.gov]

Traditionally, laparotomy or thoracotomy has been the treatment of choice for this condition. [ncbi.nlm.nih.gov]

The accurate diagnosis and prognosis of this pathology depend on a complete knowledge of the clinical and radiological presentation. [ncbi.nlm.nih.gov]

It may also be associated with malformations; in this event, the prognosis is more guarded than it would be otherwise. [15, 16, 17, 18] The causes of unilateral diaphragmatic paralysis are many. [emedicine.medscape.com]

This study aimed to examine and improve our understanding of the etiology, clinical presentation, and management of DR. METHODS: This study was performed at the Emergency and General Surgery Department of Fondazione I.R.R.C.S. [ncbi.nlm.nih.gov]

ETIOLOGY DI 0.63% National Trauma Data Bank (NTDB) 65 % Penetrating injury 35 % Blunt injury 4. [slideshare.net]

Blunt trauma caused by motor vehicle accidents and penetrating trauma from gunshot and stab wounds are the major etiologic factors in most patients. [webmedcentral.com]

The aim of our study was to evaluate the incidence of diaphragmatic injuries in the thoracic-abdominal trauma and discuss the epidemiology, diagnosis and treatment. [springerplus.springeropen.com]

Daoud pp. 179–182 https://doi.org/10.5144/0256-4947.2008.179 Correction(s) for this article retraction notice Volume 32 Issue 6 Annals of Saudi Medicine 26 March 2019 Abstract Full text PDF Abstract Epidemiological aspects of scorpion stings in Al-Jouf [annsaudimed.net]

We undertook this study to analyze the epidemiology of diaphragmatic rupture and to report our results in the diagnosis and treatment of this injury. METHODS: We present seven cases from 1999 through 2005. [pesquisa.bvsalud.org]

Non-traumatic, spontaneous diaphragmatic rupture is a rare event whose pathophysiology is not known. [ncbi.nlm.nih.gov]

This preponderance for left-sided injuries is thought to be related to the protective effect of the bare area of the liver in contact with the diaphragm in the right thorax. 3 The pathophysiology in blunt trauma is due to the abrupt change in intraabdomonial [westjem.com]

It lays stress on the need to recognize the mechanisms involved in its pathophysiology as well as the diagnostic and therapeutic modalities. 2. [article.sciencepublishinggroup.com]

Abstract The pathophysiology and complications of blunt diaphragmatic rupture (BDR), an underdiagnosed and potentially life-threatening condition, are reviewed, and 19 CT signs that are suggestive or indicative of BDR are described and classified to facilitate [pubs.rsna.org]

Pathophysiology Currently, 80-90% of blunt diaphragmatic ruptures result from motor vehicle crashes (MVCs). Falls and other traumatic events rarely are implicated. [emedicine.com]

Diaphragmatic hernia rupture during labor is a serious but rare complication that requires emergency surgery to prevent visceral perforation and cardio-respiratory failure. [ncbi.nlm.nih.gov]

They can interfere with the return of blood to the heart and prevent the heart from filling effectively, reducing cardiac output. [en.wikipedia.org]

The diaphragm also aids in emesis, urination, and prevention of gastroesophageal reflux. [ijri.org]

The early use of supplemental imaging in traumatized patients reduces the chance of missed injury and prevents associated morbidity and mortality. [afrjtrauma.com]