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Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality
BACKGROUND: Diaphragmatic rupture due to blunt or penetrating injury may be a missed diagnosis in an acute setting and can present with a delayed complication with significantly increased morbidity and mortality. OBJECTIVES: The objective of this study is to better understand why diaphragmatic tears...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860644/ https://www.ncbi.nlm.nih.gov/pubmed/24350143 http://dx.doi.org/10.5812/traumamon.7125 |
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author | Ganie, Farooq Ahmad Lone, Hafeezulla Lone, Ghulam Nabi Wani, Mohd Lateef Ganie, Shabir Ahmad Wani, Nasir-u-din Gani, Masaratul |
author_facet | Ganie, Farooq Ahmad Lone, Hafeezulla Lone, Ghulam Nabi Wani, Mohd Lateef Ganie, Shabir Ahmad Wani, Nasir-u-din Gani, Masaratul |
author_sort | Ganie, Farooq Ahmad |
collection | PubMed |
description | BACKGROUND: Diaphragmatic rupture due to blunt or penetrating injury may be a missed diagnosis in an acute setting and can present with a delayed complication with significantly increased morbidity and mortality. OBJECTIVES: The objective of this study is to better understand why diaphragmatic tears with delayed presentation and diagnosis are so often missed and why traumatic diaphragmatic tears are difficult to diagnose in emergency settings and how they present with grievous complications. PATIENTS AND METHODS: Eleven patients with diaphragmatic hernias with delayed presentation and delayed diagnosis were operated within the last five years. All patients presented with different complications like gut gangrene or respiratory distress. RESULTS: Out of eleven patients who were operated on for diaphragmatic hernia, three patients (27%) died. Three patients required colonic resection, one patient needed gastrectomy and one patient underwent esophagogastrectomy. CONCLUSIONS: A small diaphragmatic tear due to blunt trauma to the abdomen is difficult to diagnosis in acute settings due to ragged margins and possibly no herniated contents and usually present with a delayed complication. Therefore a careful examination of the entire traumatized area is the best approach in treating delayed presentation of traumatic diaphragmatic hernia prior to development of grievous complications. |
format | Online Article Text |
id | pubmed-3860644 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-38606442013-12-16 Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality Ganie, Farooq Ahmad Lone, Hafeezulla Lone, Ghulam Nabi Wani, Mohd Lateef Ganie, Shabir Ahmad Wani, Nasir-u-din Gani, Masaratul Trauma Mon Research Article BACKGROUND: Diaphragmatic rupture due to blunt or penetrating injury may be a missed diagnosis in an acute setting and can present with a delayed complication with significantly increased morbidity and mortality. OBJECTIVES: The objective of this study is to better understand why diaphragmatic tears with delayed presentation and diagnosis are so often missed and why traumatic diaphragmatic tears are difficult to diagnose in emergency settings and how they present with grievous complications. PATIENTS AND METHODS: Eleven patients with diaphragmatic hernias with delayed presentation and delayed diagnosis were operated within the last five years. All patients presented with different complications like gut gangrene or respiratory distress. RESULTS: Out of eleven patients who were operated on for diaphragmatic hernia, three patients (27%) died. Three patients required colonic resection, one patient needed gastrectomy and one patient underwent esophagogastrectomy. CONCLUSIONS: A small diaphragmatic tear due to blunt trauma to the abdomen is difficult to diagnosis in acute settings due to ragged margins and possibly no herniated contents and usually present with a delayed complication. Therefore a careful examination of the entire traumatized area is the best approach in treating delayed presentation of traumatic diaphragmatic hernia prior to development of grievous complications. Kowsar 2013-05-26 2013 /pmc/articles/PMC3860644/ /pubmed/24350143 http://dx.doi.org/10.5812/traumamon.7125 Text en Copyright © 2013, Trauma Research Center http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ganie, Farooq Ahmad Lone, Hafeezulla Lone, Ghulam Nabi Wani, Mohd Lateef Ganie, Shabir Ahmad Wani, Nasir-u-din Gani, Masaratul Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title | Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title_full | Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title_fullStr | Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title_full_unstemmed | Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title_short | Delayed Presentation of Traumatic Diaphragmatic Hernia: a Diagnosis of Suspicion with Increased Morbidity and Mortality |
title_sort | delayed presentation of traumatic diaphragmatic hernia: a diagnosis of suspicion with increased morbidity and mortality |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860644/ https://www.ncbi.nlm.nih.gov/pubmed/24350143 http://dx.doi.org/10.5812/traumamon.7125 |
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