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Updated: Jun 28, 2025

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation
Published on: January 31, 2025
[Traumatic damage to the diaphragm in children]
1Pavlov Ryazan State Medical University, Ryazan, Russia.
Insights
Children with traumatic diaphragm injuries often have associated brain and thoracoabdominal trauma. Prompt care in specialized hospitals is crucial for managing these severe pediatric injuries.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Diaphragmatic Injuries
Context:
- Traumatic injuries to the diaphragm in children are uncommon but can be life-threatening.
- These injuries often occur in conjunction with other severe trauma, including traumatic brain injury (TBI) and thoracoabdominal damage.
- Understanding the mechanisms of injury and associated pathologies is vital for effective management.
Purpose:
- To analyze treatment outcomes in pediatric patients with traumatic diaphragm injuries.
- To identify common causes and associated injuries in this patient cohort.
- To highlight the critical need for specialized care in managing these complex cases.
Summary:
- This study reviewed 14 children (aged 3-18 years) with traumatic diaphragm injuries.
- Traffic accidents were the most common cause (8 children), often associated with fatal TBI.
- Other causes included falls, blunt force trauma, and penetrating injuries, frequently involving multiple organ systems.
Impact:
- Combined diaphragmatic, TBI, chest, and abdominal injuries represent critical pediatric trauma.
- Early recognition of shock, hemorrhage, respiratory failure, and fractures is paramount.
- Management necessitates immediate transfer and treatment in specialized pediatric trauma centers.
Objective:
To analyze treatment outcomes in children with traumatic injuries of the diaphragm.
Material And Methods:
We followed-up 14 children aged 3-18 years with traumatic injuries of the diaphragm. Diagnostic measures included anamnesis, physical examination, pleural and abdominal puncture, bladder catheterization, ultrasound and X-ray examination including CT.
Results:
Traumatic brain injury and thoracoabdominal trauma prevailed in children with traumatic injuries of the diaphragm. In 8 children, diaphragm injury was the result of a traffic accident. Of these, 5 ones died at the scene due to traumatic brain injury. In 3 children, diaphragm injury was associated with penetration of an iron pin through the perineum, pelvic cavity, abdominal and chest cavities when falling from a height (n=1) and sledding (n=2). Two children were littered with a pile of bricks and building materials. One girl suffered a diaphragm injury as a result of a stab wound.
Conclusion:
Combined damage to the diaphragm, TBI, chest and abdominal organs are serious injuries. Signs of shock, internal bleeding, respiratory failure and bone fractures come to the fore. Assistance to these children should be carried out in specialized hospitals.
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Assessment:
1. Clinical Evaluation:
History:

