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Diaphragmatic rupture

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Title: Diaphragmatic rupture  
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Subject: Pulmonary contusion, Chest trauma, Abbreviated Injury Scale, Revised Trauma Score, Crush injury
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Diaphragmatic rupture

Diaphragmatic rupture
An X-ray showing the spleen in the left lower portion of the chest cavity (X and arrow) after a diaphragmatic tear[1]
Classification and external resources
ICD-10 S27.8
ICD-9-CM 862.1
ICD-O S27.8
eMedicine med/3487 emerg/136

Diaphragmatic rupture (also called diaphragmatic injury or tear) is a tear of the diaphragm, the muscle across the bottom of the ribcage that plays a crucial role in respiration. Most commonly, acquired diaphragmatic tears result from physical trauma. Diaphragmatic rupture can result from blunt or penetrating trauma[2] and occurs in about 5% of cases of severe blunt trauma to the trunk.[3] Diagnostic techniques include X-ray, computed tomography, and surgical techniques such as laparotomy. Diagnosis is often difficult because signs may not show up on X-ray, or signs that do show up appear similar to other conditions. Signs and symptoms included chest and abdominal pain, difficulty breathing, and decreased lung sounds. When a tear is discovered, surgery is needed to repair it.

Injuries to the diaphragm are usually accompanied by other injuries, and they indicate that more severe injury may have occurred. The outcome often depends more on associated injuries than on the diaphragmatic injury itself.[4] Since the pressure is higher in the

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References

In 1579, Ambroise Paré made the first description of diaphragmatic rupture, in a French artillery captain who had been shot eight months before his death from complications of the rupture.[9] Using autopsies, Paré also described diaphragmatic rupture in people who had suffered blunt and penetrating trauma.[9] Reports of diaphragmatic herniation due to injury date back at least as far as the 17th century.[9] Petit was the first to establish the difference between acquired and congenital diaphragmatic hernia, which results from a congenital malformation of the diaphragm. In 1888, Naumann repaired a hernia of the stomach into the left chest that was caused by trauma.[9]

Ambroise Paré

History

[10] Associated injuries occur in over three quarters of cases.[7].spleen and liver of the lacerations, and long bones and pelvis of the fractures, aorta, injuries to the head injury Common associated injuries include [8] Thus, the mortality after a diagnosis of diaphragmatic rupture is 17%, with most deaths due to lung complications.[8] A high [9] and an average of 3% of abdominal injuries.[4] Diaphragmatic injuries are present in 1–7% of people with significant blunt trauma

Epidemiology

A significant complication of diaphragmatic rupture is abdominal trauma who present to a trauma center.[9]

Complications

In most cases, isolated diaphragmatic rupture is associated with good outcome if it is surgically repaired.[4] The death rate (mortality) for diaphragmatic rupture after blunt and penetrating trauma is estimated to be 15–40% and 10–30% respectively, but other injuries play a large role in determining outcome.[4]

Prognosis

Since the diaphragm is in constant motion with respiration, and because it is under tension, lacerations will not heal on their own.[10] Surgery is needed to repair a torn diaphragm.[3] Most of the time, the injury is repaired during laparotomy.[9] Other injuries, such as hemothorax, may present a more immediate threat and may need to be treated first if they accompany diaphragmatic rupture.[4] Video-assisted thoracoscopy may be used.[7]

Treatment

Between 50 and 80% of diaphragmatic ruptures occur on the left side.[5] It is possible that the liver, which is situated in the right upper quadrant of the abdomen, cushions the diaphragm.[4] However, injuries occurring on the left side are also easier to detect in X-ray films.[7] Half of diaphragmatic ruptures that occur on the right side are associated with liver injury.[5] Injuries occurring on the right are associated with a higher rate of death and more numerous and serious accompanying injuries.[10] Bilateral diaphragmatic rupture, which occurs in 1–2% of ruptures, is associated with a much higher death rate (mortality) than injury that occurs on just one side.[5]

Location

Computed tomography has an increased accuracy of diagnosis over X-ray,[8] but no specific findings on a CT scan exist to establish a diagnosis.[9] Although CT scanning increases chances that diaphragmatic rupture will be diagnosed before surgery, the rate of diagnosis before surgery is still only 31–43.5%.[8] Another diagnostic method is laparotomy, but this misses diaphragmatic ruptures up to 15% of the time.[7] Often diaphragmatic injury is discovered during a laparotomy that was undertaken because of another abdominal injury.[7] Because laparotomies are more common in those with penetrating trauma then compared to those who experienced a blunt force injury, diaphragmatic rupture is found more often in these persons.[11] Thoracoscopy is more reliable in detecting diaphragmatic tears than laparotomy and is especially useful when chronic diaphragmatic hernia is suspected.[7]

[7] [3] Initially, diagnosis can be difficult, especially when other severe injuries are present; thus the condition is commonly diagnosed late.

Diagnosis

Usually the rupture is on the same side as an impact.[10] A blow to the side is three times more likely to cause diaphragmatic rupture than a blow to the front.[10]

Although the mechanism is unknown, it is proposed that a blow to the abdomen may raise the pressure within the abdomen so high that the diaphragm bursts.[4] Blunt trauma creates a large pressure gradient between the abdominal and thoracic cavities; this gradient, in addition to causing the rupture, can also cause abdominal contents to herniate into the thoracic cavity.[7] Abdominal contents in the pleural space interfere with breathing and cardiac activity.[7] They can interfere with the return of blood to the heart and prevent the heart from filling effectively, reducing cardiac output.[7] If ventilation of the lung on the side of the tear is severely inhibited, hypoxemia (low blood oxygen) results.[7]

Mechanism

The injury may be caused by blunt trauma, penetrating trauma, and by iatrogenic causes (as a result of medical intervention), for example during surgery to the abdomen or chest.[4] Injury to the diaphragm is reported to be present in 8% of cases of blunt chest trauma.[8] In cases of blunt trauma, vehicle accidents and falls are the most common causes.[4] Penetrating trauma has been reported to cause 12.3–20% of cases, but it has also been proposed as a more common cause than blunt trauma; discrepancies could be due to varying regional, social, and economic factors in the areas studied.[2] Stab and gunshot wounds can cause diaphragmatic injuries.[4] Clinicians are trained to suspect diaphragmatic rupture particularly if penetrating trauma has occurred to the lower chest or upper abdomen.[9] With penetrating trauma, the contents of the abdomen may not herniate into the chest cavity right away, but they may do so later, causing the presentation to be delayed.[4] Since the diaphragm moves up and down during breathing, penetrating trauma to various parts of the torso may injure the diaphragm; penetrating injuries as high as the third rib and as low as the twelfth have been found to injure the diaphragm.[10]

Causes

sepsis in the abdomen may be present.[5] Bowel sounds may be heard in the chest, and shoulder or epigastric pain may be present.[4] When the injury is not noticed right away, the main symptoms are those that indicate bowel obstruction.[4]

Signs and symptoms

Contents

  • Signs and symptoms 1
  • Causes 2
  • Mechanism 3
  • Diagnosis 4
    • Location 4.1
  • Treatment 5
  • Prognosis 6
    • Complications 6.1
  • Epidemiology 7
  • History 8
  • References 9

damaging them. [6]

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