Aim: Traumatic diaphragm rupture is a well known, but easily overlooked, complication of blunt or sharp injuries. The aim of this study was to convey our experience of traumatic diaphragm injuries with delayed diagnosis.
Material and Method: Between January 2016 and May 2017, the records of a total of seven patients with diaphragmatic herniation after traumatic diaphragmatic rupture treated in our clinic were retrospectively reviewed.
Results: Six of the patients were male, one patient was female and the mean age was 28.2 (20-45). The mean follow-up period of patients with delayed diagnosis after traumatic injury was 3.8 (2-6) months. All of the patients had an injury on the left side of the diaphragm. The mean defect width in diaphragmatic injuries was 6.9 (3-10) cm. Four patients underwent laparotomy and 3 patients underwent laparoscopy with hernia excision and diaphragm repair. No morbidity and mortality were observed during or after the operation.
Conclusion: It is difficult to diagnose penetrating diaphragm injuries before surgery. It is especially important for early diagnosis and treatment to remember that diaphragm rupture may occur after blunt or penetrating injury of the abdominal- thoracic region.