Related Experiment Video

Updated: Mar 13, 2026

Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.6K

Traumatic diaphragmatic rupture in pediatric age: review of the literature

F Marzona1, N Parri2, A Nocerino3

  • 1Department of Pediatrics, S. Maria della Misericordia University Hospital, University of Udine, Piazzale S. Maria della Misericordia, 1, 33100, Udine, Italy. federico.marzona@gmail.com.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|October 23, 2016
PubMed

Insights

Pediatric traumatic diaphragm rupture (TDR) is often missed due to severe injuries. Early diagnosis requires a high clinical suspicion, especially with abdominal or respiratory symptoms following trauma.

Area of Science:

  • Pediatric Traumatology
  • Thoracic Surgery
  • Emergency Medicine

Background:

  • Traumatic diaphragm rupture (TDR) is a rare pediatric injury, often masked by other severe trauma.
  • Delayed diagnosis of pediatric TDR increases morbidity and mortality rates.
  • Limited reviews exist to guide clinicians on diagnosing pediatric TDR.

Purpose of the Study:

  • To review the diagnostic challenges and initial approach for pediatric traumatic diaphragm rupture.
  • To highlight the importance of recognizing TDR in pediatric trauma patients.

Main Methods:

  • A comprehensive Medline search was performed for pediatric TDR cases (0-18 years) from January 2000 to December 2014.
  • Citations were reviewed for eligibility, and reliable data were extracted and synthesized.
  • Consensus was used to resolve discrepancies in the data.

Main Results:

  • Respiratory and abdominal symptoms are the most common presentations of pediatric TDR.
  • Chest X-ray (CXR) detected suggestive findings in 85% of cases.
  • CT scans were frequently used to confirm suspected TDR.

Conclusions:

  • A high index of suspicion is crucial for diagnosing and managing pediatric TDR.
  • TDR should be considered in pediatric patients with trauma and abdominal/respiratory symptoms.
  • The rise in non-operative management of blunt abdominal trauma risks overlooking TDR.
Abstract

Keywords:
Diaphragam rupturePediatric emergency surgeryPediatric traumaPediatrics

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

2.3K
Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

Published on: May 26, 2023

1.5K

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.
1.9K
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....
697
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
1.3K
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:
820
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:
889
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
912