ABDOM�NAL TRAVMADA D�YAFRAGMA R�PT�R�

Vatansev, Celalettin; Aksoy, Faruk; Tekin, Sakir; Tekin, Ahmet; Belviranl�, Metin; Kaynak, Adnan

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ABDOM�NAL TRAVMADA D�YAFRAGMA R�PT�R� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 285-290

ABDOM�NAL TRAVMADA D�YAFRAGMA R�PT�R�

Celalettin Vatansev¹, Faruk Aksoy¹, Sakir Tekin¹, Ahmet Tekin¹, Metin Belviranl�¹, Adnan Kaynak¹
¹Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey
²Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey
³Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey
⁴Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey
⁵Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey
⁶Selcuk University, Medical Faculty, Department Of Surgery, Konya, Turkey

DIAPHRAGMATIC RUPTURE IN ABDOMINAL TRAUMA

Celalettin Vatansev¹, Faruk Aksoy¹, Sakir Tekin¹, Ahmet Tekin¹, Metin Belviranl�¹, Adnan Kaynak¹
¹Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey
²Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey
³Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey
⁴Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey
⁵Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey
⁶Selcuk University, Medical Faculty, Department of Surgery, Konya, Turkey

Background: The aim of the study is to evaluate the patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma.
Methods: Thirty-eight patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma were investigated retrospectively.
Results: The average age was 41,72 and there were 31 male and seven female patients. The injury forms were penetrating trauma in 22 (58%) and blunt trauma in 16 (42%) cases. Associated abdominal organ injuries were found in 27 (71%) cases. Among 47 diapragmatic ruptures, 27 (57%) were on the left and 20 (43%) were on the right side. The average diameter of the rupture was 5,45 (1-20) cm. Management of the diaphragmatic rupture and other associated organ injuries were accomplished through laparotomy. Morbidity was developed in 18 cases and mortality in four cases with associated abdominal organ injuries.
Conclusion: Diaphragmatic rupture results in high morbidity and mortality due to associated organ injuries.

Keywords: Penetrating, Blunt abdominal trauma, diaphragmatic rupture.

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