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Diaphragmatic Rupture
Jonathan Hero Chung, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Diaphragmatic tear
              • Diaphragmatic laceration
            • Definitions

              • Traumatic hemidiaphragm laceration
                • May result in intrathoracic herniation of abdominal viscera
                • More common with blunt than penetrating trauma

            IMAGING

            • General Features

              • Radiographic Findings

                • Upper Gastrointestinal Series

                  • CT Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Lozano JD et al: Penetrating wounds to the torso: evaluation with triple-contrast multidetector CT. Radiographics. 33(2):341-59, 2013
                                          2. Bocchini G et al: Diaphragmatic injuries after blunt trauma: are they still a challenge? Reviewing CT findings and integrated imaging. Emerg Radiol. 19(3):225-35, 2012
                                          3. Oikonomou A et al: CT imaging of blunt chest trauma. Insights Imaging. 2(3):281-295, 2011
                                          4. de Vries CS et al: The imaging of stab injuries. Acta Radiol. 51(1):92-106, 2010
                                          5. Sangster GP et al: Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol. 14(5):297-310, 2007
                                          6. Eren S et al: Imaging of diaphragmatic rupture after trauma. Clin Radiol. 61(6):467-77, 2006
                                          7. Nchimi A et al: Helical CT of blunt diaphragmatic rupture. AJR Am J Roentgenol. 184(1):24-30, 2005
                                          8. Thoongsuwan N et al: Spectrum of blunt chest injuries. J Thorac Imaging. 20(2):89-97, 2005
                                          9. Karmy-Jones R et al: The impact of positive pressure ventilation on the diagnosis of traumatic diaphragmatic injury. Am Surg. 68(2):167-72, 2002
                                          10. Bergin D et al: The "dependent viscera" sign in CT diagnosis of blunt traumatic diaphragmatic rupture. AJR Am J Roentgenol. 177(5):1137-40, 2001
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Diaphragmatic tear
                                                      • Diaphragmatic laceration
                                                    • Definitions

                                                      • Traumatic hemidiaphragm laceration
                                                        • May result in intrathoracic herniation of abdominal viscera
                                                        • More common with blunt than penetrating trauma

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • Upper Gastrointestinal Series

                                                          • CT Findings

                                                            • MR Findings

                                                              • Nuclear Medicine Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Lozano JD et al: Penetrating wounds to the torso: evaluation with triple-contrast multidetector CT. Radiographics. 33(2):341-59, 2013
                                                                                  2. Bocchini G et al: Diaphragmatic injuries after blunt trauma: are they still a challenge? Reviewing CT findings and integrated imaging. Emerg Radiol. 19(3):225-35, 2012
                                                                                  3. Oikonomou A et al: CT imaging of blunt chest trauma. Insights Imaging. 2(3):281-295, 2011
                                                                                  4. de Vries CS et al: The imaging of stab injuries. Acta Radiol. 51(1):92-106, 2010
                                                                                  5. Sangster GP et al: Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol. 14(5):297-310, 2007
                                                                                  6. Eren S et al: Imaging of diaphragmatic rupture after trauma. Clin Radiol. 61(6):467-77, 2006
                                                                                  7. Nchimi A et al: Helical CT of blunt diaphragmatic rupture. AJR Am J Roentgenol. 184(1):24-30, 2005
                                                                                  8. Thoongsuwan N et al: Spectrum of blunt chest injuries. J Thorac Imaging. 20(2):89-97, 2005
                                                                                  9. Karmy-Jones R et al: The impact of positive pressure ventilation on the diagnosis of traumatic diaphragmatic injury. Am Surg. 68(2):167-72, 2002
                                                                                  10. Bergin D et al: The "dependent viscera" sign in CT diagnosis of blunt traumatic diaphragmatic rupture. AJR Am J Roentgenol. 177(5):1137-40, 2001