DIAPHRAGMATIC RUPTURES FOLLOWING BLUNT TRAUMA: A SINGLE CENTER EXPERIENCE

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Erdönmez Çelik A. H., Ercan L. D., Güden İ., İlhan M., Gök A. F. K., Günay M. K.

12th World Congress of Emergency Surgery , Antalya, Türkiye, 21 - 25 Ekim 2025, ss.44-45, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.44-45
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • İstanbul Üniversitesi Adresli: Evet

Özet

DIAPHRAGMATIC RUPTURES FOLLOWING BLUNT TRAUMA: A SINGLE CENTER EXPERIENCE

 Background: Traumatic diaphragmatic rupture is a rare but serious consequence of blunt thoracoabdominal trauma, often accompanied by other major injuries. Left-sided ruptures are more common due to the protective role of the liver on the right. Diagnosis is frequently delayed, increasing the risk of compli- cations. Computed tomography (CT) plays a key role in early detection.

Methods: We retrospectively analyzed 11 patients surgically treated for blunt trauma–related diaphragmatic rupture between January 2015 and June 2025. Patients were classified according to timing of surgery: early (<24 h), early-intermediate (24 h–2 weeks), and late (6– 12 months). Demographic features, trauma mechanism, rupture characteristics, surgical approach, and post- operative outcomes were recorded.

Results: Eight patients were male and three were female. Ten had left-sided and one had right-sided ruptures.

• Early group (n=4): Mean defect size 7.5 cm; associated injuries included splenic and gastric lacerations; all un- derwent urgent repair.

 Early-intermediate group (n=3): Mean defect size 5.5 cm; organ herniation in all; two laparoscopic and one thora- coscopic repair performed.


Late group (n=4): Mean defect size 5 cm; three left-sided and one right-sided rupture; three cases with organ herni- ation; two mesh repairs.


Laparoscopy was performed in six patients, laparotomy in four, and VATS in one.


Postoperative complications occurred in three patients, mainly in late cases, which also had longer hospital stays.


Conclusion: Blunt trauma–related diaphragmatic rupture should be suspected in high-energy injuries. CT facilitates early diagnosis. Minimally invasive approaches are safe and effective, while delayed cases require individualized surgical planning to manage adhesions and reduce complication risks.


Keywords: blunt trauma, Diaphragmatic Rupture