A review on delayed presentation of diaphragmatic rupture

被引：93

作者：

Rashid F. ^{[1
,2
]}

Chakrabarty M.M. ^{[1
,2
]}

Singh R. ^{[3
]}

Iftikhar S.Y. ^{[1
,2
]}

机构：

[1] Division of GI Surgery, University of Nottingham, Graduate Entry Medical School, Derby, DE22 3DT, Uttoxeter Road

[2] Department of Upper GI Surgery, Royal Derby Hospital, Derby, DE22 3NE, Uttoxeter Road

[3] Department of Radiology, Royal Derby Hospital, Derby, DE22 3NE, Uttoxeter Road

来源：

World Journal of Emergency Surgery | / 4卷 / 1期

关键词：

Diaphragmatic Hernia; Laparoscopic Repair; Diaphragmatic Defect; Tension Pneumothorax; Diaphragmatic Injury;

D O I：

10.1186/1749-7922-4-32

中图分类号：

学科分类号：

摘要：

Diaphragmatic rupture is a life-threatening condition. Diaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Diaphragmatic ruptures are usually associated with abdominal trauma however, it can occur in isolation. Acute traumatic rupture of the diaphragm may go unnoticed and there is often a delay between the injury and the diagnosis. A comprehensive literature search was performed using the terms "delayed presentation of post traumatic diaphragmatic rupture" and "delayed diaphragmatic rupture". The diagnostic and management challenges encountered are discussed, together with strategies for dealing with them. We have focussed on mechanism of injury, duration, presentation and site of injury, visceral herniation, investigations and different approaches for repair. We intend to stress on the importance of delay in presentation of diaphragmatic rupture and to provide a review on the available investigations and treatment methods. The enclosed case report also emphasizes on the delayed presentation, diagnostic challenges and the advantages of laparoscopic repair of delayed diaphragmatic rupture. © 2009 Rashid et al; licensee BioMed Central Ltd.

引用

共 55 条

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