Related Experiment Video

Updated: May 16, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
05:40

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

[Traumatic diaphragmatic hernia: a vital need for an early diagnosis]

C A De La Torre1, M Miguel, J Vázquez

  • 1Departamento de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid. carlosgeli@hotmail.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|November 20, 2012
PubMed

Insights

Traumatic diaphragmatic hernia (HDT) is rare in children and often diagnosed late. Early diagnosis requires understanding biomechanics and symptoms, especially before chest procedures.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Emergency Medicine

Context:

  • Traumatic diaphragmatic hernia (HDT) is an uncommon pediatric injury.
  • Diagnosis is frequently delayed due to its occurrence in severe polytrauma cases.
  • This study analyzes a series of pediatric HDT cases in relation to severity scores.

Purpose:

  • To analyze a series of pediatric traumatic diaphragmatic hernia (HDT) cases.
  • To evaluate the utility of severity scores in diagnosing and managing pediatric HDT.
  • To highlight the importance of biomechanics and clinical presentation for early diagnosis.

Summary:

  • Five pediatric patients with HDT were studied, with traffic accidents being the primary cause.
  • Respiratory symptoms were predominant; diagnosis was achieved through radiography, CT, or laparotomy.
  • Surgical intervention was performed abdominally, with all patients surviving despite initial survival probability estimates.

Impact:

  • Emphasizes the need to consider HDT in pediatric polytrauma, especially before chest procedures.
  • Suggests that current adult trauma scoring systems like TRISS may not be optimal for pediatric populations.
  • Underscores the importance of biomechanical analysis and clinical semiology for timely diagnosis of pediatric HDT.
Abstract

More Related Videos

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation05:51

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation

Published on: January 31, 2025

Related Concept Videos

Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...