Unravelling the Mysteries of Traumatic Diaphragmatic Injury: An Up-to-Date Review

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
Waleed AbdellatifNicolas Murray

Abstract

Traumatic diaphragmatic injury (TDI) is an underdiagnosed condition that has recently increased in prevalence due to its association with automobile collisions. The initial injury is often obscured by concurrent thoracic and abdominal injuries. Traumatic diaphragmatic injury itself is rarely lethal at initial presentation, however associated injuries and complications of untreated TDI such as herniation and strangulation of abdominal viscera have serious clinical consequences. There are 2 primary mechanisms of TDIs: penetrating TDI which tend to be smaller, more difficult to detect, and result in fewer complications; and blunt TDIs which are larger and have higher overall mortality due to associated injuries or delayed complications. The anatomy of thoracic and abdominal cavities distinguishes the epidemiology, pathophysiology, symptoms, treatment, and prognosis of right versus left TDI. Although there is no definitive radiologic sign for diagnosing TDI, many signs have been introduced in the literature and the concurrent presence of multiple signs increases the sensitivity of TDI detection. Conservative versus surgical management depends on mechanism of TDI, side, and most importantly the associated injuries.

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Citations

Apr 23, 2021·Journal of Surgical Case Reports·Anna M Sauer DurandMichael Kremer
Aug 16, 2021·The Journal of Surgical Research·Christina M TheodorouDavid E Leshikar

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Methods Mentioned

BETA
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