Diaphragmatic rupture natural history, complications and prognosis: Difference between revisions
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{{Diaphragmatic rupture}} | {{Diaphragmatic rupture}} | ||
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==Natural History== | ==Natural History== | ||
==Complications== | ==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. | 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. | ||
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cite book |chapter=Injury to the diaphragm |author = Asensio JA, Petrone P, Demitriades D, commentary by Davis JW |title=Trauma. Fifth Edition |editor=Moore EE, Feliciano DV, Mattox KL |year= 2003 |publisher= McGraw-Hill Professional | isbn= 0071370692 |pages=613–616 | cite book |chapter=Injury to the diaphragm |author = Asensio JA, Petrone P, Demitriades D, commentary by Davis JW |title=Trauma. Fifth Edition |editor=Moore EE, Feliciano DV, Mattox KL |year= 2003 |publisher= McGraw-Hill Professional | isbn= 0071370692 |pages=613–616 | ||
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==Prognosis== | ==Prognosis== | ||
In most cases, isolated diaphragmatic rupture is associated with good outcome if it is surgically repaired. | In most cases, isolated diaphragmatic rupture is associated with good outcome if it is surgically repaired. The death rate ([[mortality 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== | ==References== | ||
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[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
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Revision as of 13:11, 26 September 2012
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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. 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. </ref>
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.