Diaphragmatic rupture natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Natural History

Complications

A significant complication of diaphragmatic rupture is traumatic diaphragmatic herniation: organs such as the stomach that herniate into the chest cavity and may be strangulated, losing their blood supply. Herniation of abdominal organs is present in 3–4% of people with abdominal trauma who present to a trauma center.^[1]

Prognosis

In most cases, isolated diaphragmatic rupture is associated with good outcome if it is surgically repaired. 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.

References

↑ Asensio JA, Petrone P, Demitriades D, commentary by Davis JW (2003). “Injury to the diaphragm”. In Moore EE, Feliciano DV, Mattox KL. Trauma. Fifth Edition. McGraw-Hill Professional. pp. 613–616. ISBN 0071370692.

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[1] Asensio JA, Petrone P, Demitriades D, commentary by Davis JW (2003). “Injury to the diaphragm”. In Moore EE, Feliciano DV, Mattox KL. Trauma. Fifth Edition. McGraw-Hill Professional. pp. 613–616. ISBN 0071370692.

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