Acute and delayed traumatic diaphragmatic ruptures presenting at the emergency service: what are we missing?

Basit Öğe Kaydı
dc.contributor.authorAlar, T.
dc.contributor.authorDedeoglu, E.
dc.contributor.authorBulut, T.
dc.contributor.authorYapucu, M. U.
dc.contributor.authorDedeoglu, B.
dc.date.accessioned2025-01-27T20:16:46Z
dc.date.available2025-01-27T20:16:46Z
dc.date.issued2013
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Diaphragmatic rupture is rarely a cause of death by itself. It is especially difficult to diagnose diaphragmatic ruptures in patients with unstable vital signs who present at the emergency service with concurrent chest, abdomen, and extremity injuries as a result of blunt trauma. We evaluated the diagnostic processes, clinical findings and treatment results of acute and delayed traumatic diaphragmatic ruptures (TDR) cases that presented at the emergency service. Methods: A total of 29 patients that underwent surgical treatment with a diagnosis of TDR among 1021 patients that presented at the Canakkale State Hospital Emergency Service with acute or delayed thoracoabdominal trauma were retrospectively investigated. The age, gender, trauma etiology, diagnosis duration, injury severity score (ISS), rupture location, accompanying organ injuries, operation type, inpatient duration, morbidity and mortality were recorded on prepared forms to analyse the cases. Results: The mean age of the 29 patients with TDR was 45.31 +/- 17.76 years with and 20 (69%) males and 9 (31%) females. The trauma was blunt in 22 (76%) and penetrating in 7 (24%) cases. The TDR was acute in 16 (55%) and delayed in 13 (45%) patients. The surgery for TDR treatment consisted of with thoracotomy in 16 (55%) patients, laparotomy in 11 (38%) patients and both thoracotomy and laparotomy in 2 (7%) cases. Mortality occurred in 3 (10%) patients that presented at the acute stage. Conclusions: The patients undergoing thoracoabdominal trauma, should be explained the probability, although low, of rupture of the diaphragm. These patients should be followed up and it should be emphasized that they should absolutely tell this trauma history to the physician who examines them when they present at the emergency service.
dc.identifier.doi10.1177/102490791302000308
dc.identifier.endpage177
dc.identifier.issn1024-9079
dc.identifier.issn2309-5407
dc.identifier.issue3
dc.identifier.startpage172
dc.identifier.urihttps://doi.org/10.1177/102490791302000308
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21386
dc.identifier.volume20
dc.identifier.wosWOS:000323802400007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofHong Kong Journal of Emergency Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectDiaphragmatic rupture
dc.subjectthoracotomy
dc.subjecttrauma
dc.titleAcute and delayed traumatic diaphragmatic ruptures presenting at the emergency service: what are we missing?
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu