2019 Volume 39 Issue 5 Pages 815-819
We reviewed 8 cases of traumatic diaphragmatic rupture treated in our hospital between December 2006 and December 2017. Of the 8 patients, 6 were men and 2 were women. The average age was 63.0 years. Six patients had a history of blunt force trauma, while 2 had a history of sharp force trauma. Five and 3 patients had left-sided and right-sided diaphragmatic injury, respectively. Two of the 3 patients with right-sided diaphragmatic injury could not be diagnosed preoperatively. Four patients underwent surgical repair on the day of injury, while 4 underwent surgery 1～17 days after injury. In 4 patients, only laparotomy was performed, while in 1 patient only thoracotomy was performed. In 3 cases, both thoracotomy and laparotomy were performed. All 3 patients with right-sided diaphragmatic injury were treated with a thoracotomy approach. In conclusion, during management of a case of multiple trauma with a high severity score, it is important to consider the possibility of diaphragmatic injury while determining the treatment strategy. As preoperative diagnosis is difficult, the chest approach is useful for cases of right-sided diaphragmatic injury and for those treated several days after injury.
