Clinical Radiology
Volume 65, Issue 3 , Pages 206-212 , March 2010

Computed tomography in left-sided and right-sided blunt diaphragmatic rupture: experience with 43 patients

  • H.-W. Chen

      Affiliations

    • Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
    • ,
  • Y.-C. Wong

      Affiliations

    • Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
    • Corresponding Author InformationGuarantor and correspondent: Y.-C. Wong, Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Hsing Street, Gueishan, TaoYuan 33305, Taiwan. Tel.: +886 3 3281200x3786; fax: +886 3 3970074.
    • ,
  • L.-J. Wang

      Affiliations

    • Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
    • ,
  • C.-J. Fu

      Affiliations

    • Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
    • ,
  • J.-F. Fang

      Affiliations

    • Division of Trauma and Emergency, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
    • ,
  • B.-C. Lin

      Affiliations

    • Division of Trauma and Emergency, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan

Received 22 June 2009 ,Revised 10 October 2009 ,Accepted 4 November 2009.

References 

  1. Meyers BF, McCabe CJ. Traumatic diaphragmatic hernia. Occult marker of serious injury. Ann Surg. 1993;218:783–790
  2. Guth AA, Pachter HL, Kim U. Pitfalls in the diagnosis of blunt diaphragmatic injury. Am J Surg. 1995;170:5–9
  3. Reber PU, Schmied B, Seiler CA, et al. Missed diaphragmatic injuries and their long-term sequelae. J Trauma. 1998;44:183–188
  4. Spann JC, Nwariaku FE, Wait M. Evaluation of video-assisted thoracoscopic surgery in the diagnosis of diaphragmatic injuries. Am J Surg. 1995;170:628–630discussion 630–621
  5. Ammann AM, Brewer WH, Maull KI, et al. Traumatic rupture of the diaphragm: real-time sonographic diagnosis. AJR Am J Roentgenol. 1983;140:915–916
  6. Pikoulis E, Delis S, Scandalakis P, et al. Reliability of initial chest radiographs in the diagnosis of blunt diaphragmatic rupture. Ann Chir Gynaecol. 2000;89:10–13
  7. Shanmuganathan K, Mirvis SE, White CS, et al. MR imaging evaluation of hemidiaphragms in acute blunt trauma: experience with 16 patients. AJR Am J Roentgenol. 1996;167:397–402
  8. Fataar S, Schulman A. Diagnosis of diaphragmatic tears. Br J Radiol. 1979;52:375–381
  9. Worthy SA, Kang EY, Hartman TE, et al. Diaphragmatic rupture: CT findings in 11 patients. Radiology. 1995;194:885–888
  10. Shapiro MJ, Heiberg E, Durham RM, et al. The unreliability of CT scans and initial chest radiographs in evaluating blunt trauma induced diaphragmatic rupture. Clin Radiol. 1996;51:27–30
  11. Killeen KL, Mirvis SE, Shanmuganathan K. Helical CT of diaphragmatic rupture caused by blunt trauma. AJR Am J Roentgenol. 1999;173:1611–1616
  12. Leung JC, Nance ML, Schwab CW, et al. Thickening of the diaphragm: a new computed tomography sign of diaphragm injury. J Thorac Imaging. 1999;14:126–129
  13. Koplewitz BZ, Ramos C, Manson DE, et al. Traumatic diaphragmatic injuries in infants and children: imaging findings. Pediatr Radiol. 2000;30:471–479
  14. Bergin D, Ennis R, Keogh C, et al. The “dependent viscera” sign in CT diagnosis of blunt traumatic diaphragmatic rupture. AJR Am J Roentgenol. 2001;177:1137–1140
  15. Heiberg E, Wolverson MK, Hurd RN, et al. CT recognition of traumatic rupture of the diaphragm. AJR Am J Roentgenol. 1980;135:369–372
  16. Demos TC, Solomon C, Posniak HV, et al. Computed tomography in traumatic defects of the diaphragm. Clin Imaging. 1989;13:62–67
  17. Larici AR, Gotway MB, Litt HI, et al. Helical CT with sagittal and coronal reconstructions: accuracy for detection of diaphragmatic injury. AJR Am J Roentgenol. 2002;179:451–457
  18. Shah R, Sabanathan S, Mearns AJ, et al. Traumatic rupture of diaphragm. Ann Thorac Surg. 1995;60:1444–1449
  19. McElwee TB, Myers RT, Pennell TC. Diaphragmatic rupture from blunt trauma. Am Surg. 1984;50:143–149
  20. Sharma OP. Traumatic diaphragmatic rupture: not an uncommon entity—personal experience with collective review of the 1980s. J Trauma. 1989;29:678–682
  21. Boulanger BR, Milzman DP, Rosati C, et al. A comparison of right and left blunt traumatic diaphragmatic rupture. J Trauma. 1993;35:255–260
  22. Leppaniemi A, Pohjankyro A, Haapiainen R. Acute diaphragmatic rupture after blunt trauma. Ann Chir Gynaecol. 1994;83:17–21
  23. Simpson J, Lobo DN, Shah AB, et al. Traumatic diaphragmatic rupture: associated injuries and outcome. Ann R Coll Surg Engl. 2000;82:97–100
  24. Rosati C. Acute traumatic injury of the diaphragm. Chest Surg Clin N Am. 1998;8:371–379
  25. Eren S, Kantarci M, Okur A. Imaging of diaphragmatic rupture after trauma. Clin Radiol. 2006;61:467–477
  26. Nchimi A, Szapiro D, Ghaye B, et al. Helical CT of blunt diaphragmatic rupture. AJR Am J Roentgenol. 2005;184:24–30
  27. Rees O, Mirvis SE, Shanmuganathan K. Multidetector-row CT of right hemidiaphragmatic rupture caused by blunt trauma: a review of 12 cases. Clin Radiol. 2005;60:1280–1289

PII: S0009-9260(09)00406-1

doi: 10.1016/j.crad.2009.11.005

Clinical Radiology
Volume 65, Issue 3 , Pages 206-212 , March 2010

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