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Rupture of the Diaphragm Due to Blunt Trauma

Rupture of the Diaphragm Due to Blunt Trauma Abstract The recognition of a ruptured diaphragm following blunt trauma to the chest or abdomen is often delayed, in the absence of an external penetrating wound. A striking increase in recorded cases since World War II is, in a large part, due to high-velocity injuries brought about by an emphasis on faster transportation by modern automobiles. Diaphragmatic herniation caused by impact injury can no longer be regarded as infrequent. The literature concerning this subject is increasing, but the authors often include perforating injuries also.1-5 It is the purpose of this report to review 47 patients hospitalized during the past 12 years with diaphragmatic rupture, secondary to impact injury. We have not included lacerations or perforations due to gunshot wounds or stab wounds. Material Forty-seven patients hospitalized during the past 12 years with rupture of the diaphragm due to blunt trauma are studied (Table 1). In all but four instances an References 1. Hughes, F.; Kay, E. B.; Meade, R. H., Jr.; Hudson, T. R.; and Johnson, J.: Traumatic Diaphragmatic Hernia , J Thorac Surg 17:99-110, 1948. 2. Harrington, S. W.: Symposium on Abdominal Surgery: Traumatic Diaphragmatic Hernia , Surg Clin N Amer 30:961-970, 1950. 3. Harrington, S. W.: Various Types of Diaphragmatic Hernia Treated Surgically , Surg Gynec Obstet 86:735-755, 1948. 4. Desforges, G.; Strieder, J. W.; Lynch, J. P.; and Madoff, I. M.: Traumatic Rupture of the Diaphragm , J Thorac Surg 34:779-799, 1957. 5. Adams, T. W., and Musselman, M. M.: Recognition and Management of the Triad of Injury to the Spleen, Kidney, and Diaphragm , Amer J Surg 87:452-456, 1954.Crossref 6. Merenda, S. J.: Personal communication to the authors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Rupture of the Diaphragm Due to Blunt Trauma

Archives of Surgery , Volume 86 (6) – Jun 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310120107017
Publisher site
See Article on Publisher Site

Abstract

Abstract The recognition of a ruptured diaphragm following blunt trauma to the chest or abdomen is often delayed, in the absence of an external penetrating wound. A striking increase in recorded cases since World War II is, in a large part, due to high-velocity injuries brought about by an emphasis on faster transportation by modern automobiles. Diaphragmatic herniation caused by impact injury can no longer be regarded as infrequent. The literature concerning this subject is increasing, but the authors often include perforating injuries also.1-5 It is the purpose of this report to review 47 patients hospitalized during the past 12 years with diaphragmatic rupture, secondary to impact injury. We have not included lacerations or perforations due to gunshot wounds or stab wounds. Material Forty-seven patients hospitalized during the past 12 years with rupture of the diaphragm due to blunt trauma are studied (Table 1). In all but four instances an References 1. Hughes, F.; Kay, E. B.; Meade, R. H., Jr.; Hudson, T. R.; and Johnson, J.: Traumatic Diaphragmatic Hernia , J Thorac Surg 17:99-110, 1948. 2. Harrington, S. W.: Symposium on Abdominal Surgery: Traumatic Diaphragmatic Hernia , Surg Clin N Amer 30:961-970, 1950. 3. Harrington, S. W.: Various Types of Diaphragmatic Hernia Treated Surgically , Surg Gynec Obstet 86:735-755, 1948. 4. Desforges, G.; Strieder, J. W.; Lynch, J. P.; and Madoff, I. M.: Traumatic Rupture of the Diaphragm , J Thorac Surg 34:779-799, 1957. 5. Adams, T. W., and Musselman, M. M.: Recognition and Management of the Triad of Injury to the Spleen, Kidney, and Diaphragm , Amer J Surg 87:452-456, 1954.Crossref 6. Merenda, S. J.: Personal communication to the authors.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1963

References