Traumatic diaphragmatic hernia

A series of 58 cases of traumatic diaphragmatic hernia following blunt and penetrating injury is reviewed. The problems of radiodiagnosis are outlined and the need for barium contrast studies of the entire gastrointestinal tract to ensure recognition of isolated small bowel herniation is emphasized. Surgical access via laparotomy is recommended in the immediate post‐traumatic presentation, whereas thoracotomy is preferable in cases diagnosed after a latent interval. Penetrating injury resulted in smaller diaphragmatic defects, greater morbidity and higher mortality due mainly to infective complications.

[1]  I. Leslie.  Fracture-dislocation of the ankylosed thoracic spine. , 1977, Injury.

[2]  M. Swank,et al.  Acute blunt traumatic rupture of the diaphragm in children. , 1976, Archives of surgery.

[3]  M. Hegarty.  A conservative approach to penetrating injuries of the chest. Experience with 131 successive cases. , 1976, Injury.

[4]  A. Jackson,et al.  Thoracoscopy as an aid to the diagnosis of diaphragmatic injury in penetrating wounds of the left lower chest: a preliminary report. , 1976, Injury.

[5]  S. Bertelsen,et al.  Strangulated diaphragmatic hernia. A clinical study. , 1975, American journal of surgery.

[6]  M. Orringer,et al.  Congenital and traumatic diaphragmatic hernias exclusive of the hiatus. , 1975, Current problems in surgery.

[7]  Hatcher Cr,et al.  Diaphragmatic hernia caused by trauma: experience with 35 cases. , 1975 .

[8]  G. Noon,et al.  Traumatic diaphragmatic hernia. , 1974, The Annals of thoracic surgery.

[9]  J. Benfield,et al.  Acute diaphragmatic injuries. , 1973, The Annals of thoracic surgery.

[10]  R. Hood.  Traumatic diaphragmatic hernia. , 1971, The Annals of thoracic surgery.

[11]  H. Samaan.  Undiagnosed traumatic diaphragmatic hernia , 1971, The British journal of surgery.

[12]  D. Sabiston,et al.  Traumatic diaphragmatic hernia. , 1968, Surgery.

[13]  J. W. Gale,et al.  Late recognition and treatment of traumatic diaphragmatic hernias. , 1967, Archives of surgery.

[14]  R. E. Sullivan.  Strangulation and obstruction in diaphragmatic hernia due to direct trauma. Report of two cases and review of the English literature. , 1966, The Journal of thoracic and cardiovascular surgery.