Violation of the diaphragm by penetrating object (most commonly stab and gunshot wounds)
May involve any portion of diaphragm
Smaller defect compared with blunt inju...
This injury may even be missed on initial laparotomy or laparoscopy.
Vary depending on whether phase is acute,...
Herniation of abdominal contents into chest wall may mimic hemothorax or tension pneumothorax
Bowel sounds in chest may help distinguish
Be suspicious of diaphragmatic injury with lateral comp...
Patients with suspicion for diaphragmatic injury must be admitted to trauma surgery.
Patients should be admitted to the monitored or ICU setting.
Overall mortality is 18–40% depending on mechanism.
Highly associated with concomitant severe injuries to spleen and liver, hemothorax, pneumothorax, and pelvic fractures.
Must have ...
Al-Salem AH. Traumatic diaphragmatic hernia in children. Pediatr Surg Int. 2012;28:687–691.
Blaivas M, Brannam L, Hawkins M, et al. Bedside emergency ultrasonographic diagn...
862.0 Injury to diaphragm, without mention of open wound into cavity
862.1 Injury to diaphragm, with open wound into cavity
S27.802A Contusion of diaphragm, initial encounter
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