Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/96755
Type: Artigo de periódico
Title: Plain Chest Radiographs For The Diagnosis Of Post-traumatic Diaphragmatic Hernia [exame Radiográfico Convencional Do Tórax No Diagnóstico De Hérnia Diafragmática Pós-traumática]
Author: Hirano E.S.
Silva V.G.
Bortoto J.B.
Barros R.H.O.
Caserta N.M.G.
Fraga G.P.
Abstract: 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.
Editor: 
Rights: aberto
Identifier DOI: 10.1590/S0100-69912012000400007
Address: http://www.scopus.com/inward/record.url?eid=2-s2.0-84866000559&partnerID=40&md5=2e46ad17fa91affcdf88fa28664d6a9e
Date Issue: 2012
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.