Diyafragma rüptürü: Tek bir kurum deneyimi ve literatürün gözden geçirilmesi

Translated title of the contribution: Diaphragmatic rupture: A single-institution experience and literature review

Carlo Corbellini, Stefano Costa, Tiberio Canini, Roberta Villa, Ettore Contessini Avesani

Research output: Contribution to journalReview article

Abstract

BACKGROUND: Diaphragmatic rupture (DR) is a rare and potentially life-threatening event caused by trauma or spontaneously. DR occasionally occurs several months after the injury. Chest X-ray and computed tomography are the most effective diagnostic methods. Delay in DR diagnosis occurs frequently. 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. Cà Granda, Ospedale Policlinico in Milan (Italy). Patients diagnosed with DR between 2001 and 2011 who underwent surgery were included, and their data were retrospectively collected. RESULTS: Fourteen patients were diagnosed with DR, mainly left-sided DR. Road traffic collisions were the main causes (86%). DR diagnosis was preoperatively established in eight patients (57%). Chest X-ray was diagnostic in 50% of the patients and computed tomography in three patients (60%). Twelve patients had a diaphragmatic hernia. DR was repaired with a mesh in two patients. Mean hospital stay was 16.6 days. CONCLUSION: Difficulty in achieving early diagnosis of DR is due to its nonspecific presentation. High index of suspicion is needed. Its treatment is using surgery involving reduction of the viscera and repair of the diaphragm defect.

Translated title of the contributionDiaphragmatic rupture: A single-institution experience and literature review
Original languageTurkish
Pages (from-to)421-426
Number of pages6
JournalUlusal Travma ve Acil Cerrahi Dergisi
Volume23
Issue number5
DOIs
Publication statusPublished - Sep 1 2017

Keywords

  • Diaphragmatic hernia
  • Diaphragmatic rupture
  • Spontaneous diaphragmatic rupture
  • Traumatic diaphragmatic rupture

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Anesthesiology and Pain Medicine

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