Traumatic diaphragmatic rupture in children

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dc.contributor.authorOkur, Mehmet Hanifi
dc.contributor.authorUygun, Ibrahim
dc.contributor.authorArslan, Mehmet Serif
dc.contributor.authorAydogdu, Bahattin
dc.contributor.authorTurkoglu, Ahmet
dc.contributor.authorGoya, Cemil
dc.contributor.authorIcen, Mustafa
dc.date.accessioned2024-04-24T16:15:18Z
dc.date.available2024-04-24T16:15:18Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: The purpose of this study was to describe our experience with traumatic diaphragmatic rupture (TDR). Very little has been written about this condition in the pediatric age group. Methods: Between January 2000 and December 2011, data on twenty-two patients with TDR were analyzed, and clinical data were recorded. The patients were divided into subgroups based on injury type and ISS values. Results: Four patients were female, and eighteen were male. Mean age was 9.4 years (range 2-15 years). TDR was left-sided in twenty (91%) patients and right-sided in two (9%). The mean ISS (Injury Severity Score) was 19 (range 11-29). No significant difference in morbidity was noted between firearm and other injuries (p = 0.565) or between ISS values below and above 16 (p = 0.565). Seven patients (32%) had isolated diaphragmatic injury, while the other fifteen cases had additional associated injuries. Diagnoses were determined via a chest radiograph alone in the majority of cases, while suspected cases were confirmed by multidetector computed tomography if the patients were hemodynamically stable. Herniation was observed in twenty patients. Primary suture of the diaphragm and tube thoracostomy were performed in all patients. Postoperative complications included ileus (two cases), intussusception (one case), empyema (one case), and one patient succumbed during the operation. Conclusions: TDR, while uncommon, should be considered in cases of thoracoabdominal injury. All patients should undergo meticulous examination preoperatively. When the chest radiograph does not provide a definitive diagnosis, multidetector computed tomography, including multiplanar reconstruction or volume rendering, may be beneficial for confirming suspicion of diaphragmatic rupture. (C) 2014 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2013.11.056
dc.identifier.endpage423en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue3en_US
dc.identifier.pmid24650469
dc.identifier.scopus2-s2.0-84896527494
dc.identifier.scopusqualityQ1
dc.identifier.startpage420en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2013.11.056
dc.identifier.urihttps://hdl.handle.net/11468/15751
dc.identifier.volume49en_US
dc.identifier.wosWOS:000333055700009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectThoracoabdominal Traumaen_US
dc.subjectDiaphragm Ruptureen_US
dc.titleTraumatic diaphragmatic rupture in childrenen_US
dc.titleTraumatic diaphragmatic rupture in children
dc.typeArticleen_US

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