RT Book, Section
A1 Bellot, Scott C.
A1 Rue, Loring W.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105847210
T1 Acute and Chronic Traumatic Rupture of the Diaphragm
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105847210
RD 2024/04/20
AB The  diaphragm,  in  its  role  as  a  musculoaponeurotic  structure  separating  the  thoracic  and  abdominal  domains,  is  subject  to  injury  following  blunt  or  penetrating  trauma.  Historical  accounts  documenting  diaphragmatic  injury  date  from  1541,  when  Sennertus  described  the  postmortem  finding  of  delayed  herniation  of  the  stomach  through  a  diaphragmatic  defect  in  a  patient  who  had  previously  suffered  a  penetrating  chest  wound.  Detailed  postmortem  findings  related  to  both  blunt  and  penetrating  diaphragmatic  injuries  were  reported  by  Ambroise  Pare  in  the  sixteenth  century.  The  first  antemortem  diagnosis  of  a  traumatic  diaphragmatic  injury  was  published  by  H.  I.  Bowditch  in  1853,  who  also  set  forth  physical  criteria  for  the  diagnosis  of  traumatic  diaphragmatic  hernias:  (1)  prominence  and  immobility  of  the  left  thorax;  (2)  displacement  to  the  right  of  the  area  of  cardiac  dullness;  (3)  absent  breath  sounds  over  the  left  thorax;  (4)  audible  bowel  sounds  in  the  left  chest;  and  (5)  tympany  to  percussion  over  the  left  chest.  Riolfi,  in  1886,  subsequently  performed  the  first  successful  repair  of  a  diaphragmatic  laceration  secondary  to  penetrating  trauma.  Hedblom,  in  1925,  reviewed  378  cases  of  diaphragmatic  hernias  in  the  surgical  literature,  providing  a  contemporary  overview  of  diagnosis  and  surgical  treatment.