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Diaphragmatic Trauma

  • Beatriz Ortis Yazbek
  • Phillipe Abreu
  • Ana Luisa Bettega
  • Zahra Farrukh Khan
  • Antonio Marttos
Chapter

Abstract

The diaphragmatic lesion leads to equalization of the pleural and peritoneal compartment pressures, causing a migratory tendency of the viscera inside thorax through the lesion. This fact may lead to a similar case of hypertensive pneumothorax, with potentially fatal cardiorespiratory repercussions, and cause pleural contamination by gastrointestinal contents. The most common acute complications of traumatic diaphragmatic lesions are dehiscence of the suture, diaphragmatic folding resulting from traumatic or iatrogenic injury of the phrenic nerve, cardiorespiratory failure, hemorrhage, empyema, or subphrenic abscess. However, strangulated hernias with or without perforation of abdominal viscera and intestinal obstructions may occur as late complications. Patients with late diaphragmatic hernia have a 25% mortality rate, related to the septic condition due to incarceration, ischemia, and necrosis, with potential for subsequent rupture, of the herniated abdominal viscera to the pleural space.

Keywords

Diaphragmatic trauma Diaphragmatic rupture Diaphragmatic injury 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Beatriz Ortis Yazbek
    • 1
  • Phillipe Abreu
    • 2
  • Ana Luisa Bettega
    • 3
  • Zahra Farrukh Khan
    • 4
  • Antonio Marttos
    • 5
  1. 1.Faculdade de Ciências Médicas de SantosSantosBrazil
  2. 2.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  4. 4.Department of Surgery, University of Miami, Miller School of Medicine, Jackson Memorial HospitalCoral GablesUSA
  5. 5.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA

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