p-ISSN: 1306-696x | e-ISSN: 1307-7945
Volume : 11 Issue : 1 Year : 2023

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Turkish Journal of Trauma and Emergency Surgery Traumatic diaphragmatic rupture in children [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2005; 11(1): 64-68

Traumatic diaphragmatic rupture in children

Selami Sözübir1, Burak Tander2, Ferit Bernay2, Ender Arıtürk2, Rıza Rızalar2, Naci Gürses2
1Kocaeli University, Department of Pediatric Surgery, İzmit, Turkey
2Ondokuz Mayıs University, Department of Pediatric Surgery, Samsun, Turkey

BACKGROUND: We aimed to emphasize the importance of early diagnosis and treatment of traumatic diaphragmatic (TDR) rupture which is an uncommon but potentially life-threatening problem with a high incidence of associated injuries. METHODS: We presented 8 children with traumatic diaphragmatic ruptures who were admitted to our department within a 13 year period after the incident. Relevant information about clinical and radiological findings herniated organs into the thorax, type of injury and applied surgical intervention and outcome of patients were evaluated so as to draw important clues leading to early diagnosis and treatment of this potentially life threatening condition with associated morbidities. RESULTS: In five patients, TDR occurred after a blunt trauma. Five patients underwent laparotomy while 3 of them were managed with thoracotomy. The surgical interventions were performed successfully and only one patient failed to survive.. One patient died of associated severe head injury. CONCLUSIONS: The TDR in children could be promptly identified and easily diagnosed, only if this pathology is highly suspected. Since, TDR must be ruled out in all severe cases of trauma, information related to the experiences of various centers must be considered as important clues which might lead to earlier diagnosis and prompt treatment.

Selami Sözübir, Burak Tander, Ferit Bernay, Ender Arıtürk, Rıza Rızalar, Naci Gürses. Traumatic diaphragmatic rupture in children. Ulus Travma Acil Cerrahi Derg. 2005; 11(1): 64-68
Manuscript Language: English