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Plain chest radiographs for the diagnosis of post-traumatic diaphragmatic hernia.
MedLine Citation:
PMID:  22936226     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To describe changes in the radiographic examination of the chest in patients with post-traumatic diaphragmatic hernia (PTDH) confirmed intra-operatively. METHODS: Between January 1990 and August 2008 45 patients with PTDH were treated. We analyzed demographic data, cause of injury, changes in chest radiography (CXR), extent and location of the diaphragmatic lesion and herniated organs. We described the radiographic findings most frequently identified by surgeons and radiologists. RESULTS: CXR was performed on 32 patients, predominantly male (27 cases, 84.4%) and the mean age was 34 years. The most common cause of injury was blunt trauma (25 cases, 78.1%). Radiographic examination of the chest showed changes suggestive of PTDH in 26 cases (81.3%). During exploratory laparotomy, left PTDH was found in 28 cases (87.5%) and right in four (12.5%). The most frequently herniated organ was the stomach. CONCLUSION: The study showed that CXR is very useful in the initial diagnostic approach to PTDH. The difficulty is that diaphragmatic injuries, particularly after penetrating trauma, may initially go unnoticed, and without changes in the CXR images, diagnosis is made difficult.
Authors:
Elcio Shiyoiti Hirano; Vanessa Gonçalves Silva; José Benedito Bortoto; Ricardo Hoelz de Oliveira Barros; Nelson Marcio Gomes Caserta; Gustavo Pereira Fraga
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Revista do Colegio Brasileiro de Cirurgioes     Volume:  39     ISSN:  1809-4546     ISO Abbreviation:  Rev Col Bras Cir     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809515     Medline TA:  Rev Col Bras Cir     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  280-285     Citation Subset:  -    
Affiliation:
Faculdade de Ciências Médicas, Universidade Estadual de Campinas.
Vernacular Title:
Exame radiográfico convencional do tórax no diagnóstico de hérnia diafragmática pós-traumática.
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