Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Right Diaphragmatic Injury Accompanied by Herniation of the Liver: A Case Report

  • Lee, Min A (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Choi, Kang Kook (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Lee, Gil Jae (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Yu, Byung Chul (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Ma, Dae Sung (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Jeon, Yang Bin (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Lee, Jung Nam (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Chung, Min (Department of Trauma Surgery, Gachon University Gil Medical Center)
  • Received : 2015.12.08
  • Accepted : 2016.06.24
  • Published : 2016.06.30
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Abstract

Traumatic diaphragmatic injury (TDI) occurs in 1% of patients of blunt abdominal trauma. Most TDIs involve the left diaphragm, however the authors experienced TDI accompanied by a liver laceration of the right diaphragm. When detected early, TDI can be easily treated, however serious complications can occur if not. When diaphragmatic injury is suspected due to clinical manifestation, comprehensive analysis of the patient data including radiologic findings is important.

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References

  1. Epstein LI, Lempke RE. Rupture of the right hemidiaphragm due to blunt trauma. The Journal of trauma 1968; 8: 19-28. https://doi.org/10.1097/00005373-196801000-00003
  2. Hanna WC, Ferri LE. Acute traumatic diaphragmatic injury. Thoracic Surgery Clinics 2009; 19: 485-9. https://doi.org/10.1016/j.thorsurg.2009.07.008
  3. Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. The Annals of Thoracic Surgery 1995; 60: 1444-9. https://doi.org/10.1016/0003-4975(95)00629-Y
  4. Fair KA, Gordon NT, Barbosa RR, Rowell SE, Watters JM, Schreiber MA. Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank: a new examination of a rare diagnosis. American Journal of Surgery 2015; 209: 864-8; discussion 8-9. https://doi.org/10.1016/j.amjsurg.2014.12.023
  5. Guth AA, Pachter HL, Kim U. Pitfalls in the diagnosis of blunt diaphragmatic injury. American Journal of Surgery 1995; 170: 5-9. https://doi.org/10.1016/S0002-9610(99)80242-6
  6. Kuppusamy A1, Ramanathan G, Gurusamy J, Ramamoorthy B, Parasakthi K. Delayed diagnosis of traumatic diaphragmatic rupture with herniation of liver A case report.Turkish Journal of Trauma and Emergency Surgery 2012; 18: 175-7. https://doi.org/10.5505/tjtes.2012.79477
  7. Joshi M1, Dhua A1. Right Hemi-Diaphragmatic Rupture: An Injury Missed or Masked? APSP 2015; 1: 6-18.
  8. Boulanger BR1, Milzman DP, Rosati C, Rodriguez A. A comparison of right and left blunt traumatic diaphragmatic rupture. The Journal of Trauma 1993; 35: 255-60. https://doi.org/10.1097/00005373-199308000-00014
  9. Bocchini G, Guida F, Sica G, Codella U, Scaglione M. Diaphragmatic injuries after blunt trauma: are they still a challenge? Reviewing CT findings and integrated imaging. Emergency radiology 2012; 19: 225-35. https://doi.org/10.1007/s10140-012-1025-4
  10. Mirvis SE, Shanmuganagthan K. Imaging hemidiaphragmatic injury. European Radiology 2007; 17: 1411-21. https://doi.org/10.1007/s00330-006-0553-2
  11. Sangster G, Ventura VP, Carbo A, Gates T, Garayburu J, D'Agostino H. Diaphragmatic rupture: a frequently missed injury in blunt thoracoabdominal trauma patients. Emergency Radiology 2007; 13: 225-30. https://doi.org/10.1007/s10140-006-0548-y
  12. Leung VA, Patlas MN, Reid S, Coates A, Nicolaou S. Imaging of Traumatic Diaphragmatic Rupture: Evaluation of Diagnostic Accuracy at a Level 1 Trauma Centre. Canadian Association of Radiologists journal=Journal l'Association canadienne des radiologistes 2015; 66: 310-7. https://doi.org/10.1016/j.carj.2015.02.001
  13. Agrusa A, Romano G, Chianetta D, De Vita G, Frazzetta G, Di Buono G, et al. Right diaphragmatic injury and lacerated liver during a penetrating abdominal trauma: case report and brief literature review. World journal of emergency surgery: WJES 2014; 9: 33. https://doi.org/10.1186/1749-7922-9-33