Diaphragmatic rupture natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Natural History
Complications
A significant complication of diaphragmatic rupture is traumatic diaphragmatic herniation: organs such as the stomach that herniate into the chest cavity and may be strangulated, losing their blood supply.[1] Herniation of abdominal organs is present in 3–4% of people with abdominal trauma who present to a trauma center.[2]
Prognosis
In most cases, isolated diaphragmatic rupture is associated with good outcome if it is surgically repaired.[3] The death rate (mortality) for diaphragmatic rupture after blunt and penetrating trauma is estimated to be 15–40% and 10–30% respectively, but other injuries play a large role in determining outcome.[3]