Basit Künt Travma ve Gecikmiş Klinik Bulgu Veren Diyafram Rüptürü

Öz

The diaphragm provides the progression between certain structures and the chest cavity by means of an anatomic hiatus. The diaphragm is the second most functional muscle structure of the body after the heart. Diaphragm injuries may result from serious blunt or penetrating injuries. While most of the blunt diaphragm infuries are caused by traffic accidents and falls from heights, some may occur as a result of other blunt traumas to the lower chest or epigastrium. Diaphragm injuries may be seen in t 0.8-1.6% of the patients hospitalized due to blunt abdominal trauma. In this study, we will report that a diaphagm injury of a patient who has a history of blunt abdominal trauma was diagnosed six months after the trauma when he was admitted to hospital because of stomach ache and pain in his left chest.

Anahtar Kelimeler

• Blunt abdominal trauma, delayed clinic, diaphragm injuries

Simple Blunt Trauma and Diaphragmatic Rupture Showing Delayed Clinical Signs

Öz

The diaphragm provides the progression between certain structures and the chest cavity by means of an anatomic hiatus. The diaphragm is the second most functional muscle structure of the body after the heart. Diaphragm injuries may result from serious blunt or penetrating injuries. While most of the blunt diaphragm infuries are caused by traffic accidents and falls from heights, some may occur as a result of other blunt traumas to the lower chest or epigastrium. Diaphragm injuries may be seen in t 0.8-1.6% of the patients hospitalized due to blunt abdominal trauma. In this study, we will report that a diaphagm injury of a patient who has a history of blunt abdominal trauma was diagnosed six months after the trauma when he was admitted to hospital because of stomach ache and pain in his left chest

Anahtar Kelimeler

• Blunt abdominal trauma, delayed clinic, diaphragm injuries

Kaynakça

1. Ertekin C, Tavilioğlu K, Güloğlu R, Kurtoğlu M. Diyafragma yaralanmaları. Travma. 2005; 15: 866-72.
2. Gezen FZ, Tüzün B, Vural S, Süslü N, Onuray F, Tunçay E, Menteş. Geç tanı konan travmatik diafragma rüptürüne sekonder barsak obstrüksiyonu: Olgu sunumu. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2004; 15: 172-4.
3. Atagenç F. Diyafragma Hastalıkları. Kalaycı G (Ed). Genel Cer- rahi. Nobel Kitabevi, İstanbul, 2002, Cilt-1: 677-80.
4. Hasdemir O, Çetinkunar S, Yalçın E, Gazioğlu D, Soylu S. Minör künt travmaya bağlı diyafragma rüptürü ve herniasyon:olgu sunumu. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2008; 9: 31-4.
5. Ülkü R, Özçelik C, Eren Ş, Balcı A, Eren N. Travmatik diafragma rüptürleri. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 1999; 7: 454-6.
6. Goh BK, Wong AS, Tay KH, Hoe MN. Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarcer- ation and perforation after apparently minor blunt trauma. CJEM. 2004; 6: 277-80.
7. Akgün Y, Aban N, Taçyıldız İ, Keleş C. Künt diafragma yaralanmaları. Ulusal Travma Dergisi. 1996; 2: 15-21.
8. Emet M, Aslan S, Onbas O, Cakir Z, Uzkeser M, Ozturk G, Ocak T. A diagnostic approach to penetrating diaphragmatic rupture via m-mode ultrasonography. Israeli Journal of Emergency Medicine. 2009; 9: 17-20.

9. Leung JC, Nance ML, Schwab CW, Miller WT Jr. Thickening of the diaphragm: a new computed tomography sign of diaphragm injury. J Thorac Imaging. 1999; 14: 126-9. [CrossRef]
10. Carter BN, Giuseffi J, Felson B. Traumatic diaphragmatic hernia. Am J Roentgenol Radium Ther. 1951; 65: 56-72.