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Traumatic diaphragmatic rupture in children.
Mehmet Hanifi Okur1, Ibrahim Uygun1, Mehmet Serif Arslan1
1Dicle University Faculty of Medicine, Department of Pediatric Surgery, 21280, Diyarbakir, Turkey.
Journal of Pediatric Surgery
|March 22, 2014
Summary
Traumatic diaphragmatic rupture (TDR) is uncommon in children but requires prompt diagnosis and surgical repair. Imaging like CT scans aids in confirming TDR when chest X-rays are inconclusive.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Thoracic Surgery
Background:
- Traumatic diaphragmatic rupture (TDR) is rarely documented in pediatric patients.
- This study addresses the limited literature on TDR in children.
Purpose of the Study:
- To describe the clinical experience with traumatic diaphragmatic rupture in a pediatric cohort.
- To analyze patient data, injury types, and outcomes.
Main Methods:
- Retrospective analysis of 22 pediatric patients with TDR from 2000-2011.
- Patients were categorized by injury mechanism and Injury Severity Score (ISS).
Main Results:
- The majority of TDR cases (91%) were left-sided in 22 pediatric patients (mean age 9.4 years).
- Most patients (68%) had associated injuries; herniation occurred in 91%.
- Chest radiography was primary for diagnosis, with CT used for stable patients; complications included ileus and empyema.
Conclusions:
- Traumatic diaphragmatic rupture (TDR) necessitates consideration in pediatric thoracoabdominal injuries.
- Preoperative evaluation is crucial; multidetector CT aids diagnosis when radiographs are unclear.
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