Isolated Left Sided Diaphragmatic Injury Due to Blunt Trauma, Images for Clinicians

Abstract

Diafragmatic injury presents acutely and be associated with other life threatening injury of other organs. Sudden increase in abdominal pressure may cause injury in the membranous or muscular part of the diaphragm. While isolated diaphragmatic rupture after blunt trauma is rarely seen, its diagnosis can be overlooked frequently. Early diagnosis is the most important step in the treatment. Cases with delayed diagnosis can result in a diaphragmatic hernia with high mortality and morbidity rates due to complications such as strangulation and incarceration. The most critical point during the diagnosis is the suspicion for clinical diaphragm injury. X-ray graphy and computed tomography can be a guide for identifying diaphragmatic injuries. In this case report we presented an isolated left side diaphragmatic rupture after blunt abdominal trauma and treated with an urgent surgical operation.

Keywords

• Diaphragmatic injury, blunt trauma, images

Isolated Left Sided Diaphragmatic Injury Due to Blunt Trauma, Images for Clinicians

Öz

Diyafragma yaralanmaları, genellikle hayatı tehdit eden diğer organ yaralanmalarına eşlik etmektedir. Karın içi basıncın ani olarak artışına neden olan etkenler, diyaframın membranöz ve musküler bölümünde hasara neden olabilmektedir. Künt travmalar sonrası, izole diyafram yaralanmaları nadir görülmekle beraber, gözden kaçabilmektedir. Erken tanı tedavideki en önemli aşamayı oluşturmaktadır. Tanının atlanması, stragülasyon ve inkarserasyona bağlı mortalitenin yüksek olduğu diyafram hernilerine neden olabilmektedir. Tanıda en önemli aşama diyafram yaralanmasından şüphelenilmesi olup, direk grafi ve bilgisayarlı tomografi diyafram yaralanmasında tanıda yol gösterici olabilmektedir. Çalışmamızda, künt karın travması sonrası izole diyafram yaralanması saptanan ve tedavi edilen hastanın sunulması amaçlanmıştır

Anahtar Kelimeler

• Diyafragma hasarı, künt travma, görüntüler

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