Journal article
Traumatic diaphragmatic injury: a review of CT signs and the difference between blunt and penetrating injury
Diagnostic and interventional radiology (Ankara, Turkey), Vol.20(2), pp.121-128
03/01/2014
DOI: 10.5152/dir.2013.13248
PMCID: PMC4463306
PMID: 24412818
Abstract
PURPOSE
We aimed to present the frequency of computed tomography (CT) signs of diaphragmatic rupture and the differences between blunt and penetrating trauma.
MATERIALS AND METHODS
The CT scans of 23 patients with surgically proven diaphragmatic tears (both blunt and penetrating) were retrospectively reviewed for previously described CT signs of diaphragmatic injuries. The overall frequency of CT signs was reported; frequency of signs in right-and left-sided injuries and blunt and penetrating trauma were separately tabulated and statistically compared.
RESULTS
The discontinuous diaphragm sign was the most common sign, observed in 95.7% of patients, followed by diaphragmatic thickening (69.6%). While the dependent viscera sign and collar sign were exclusively observed in blunt-trauma patients, organ herniation (P = 0.05) and dangling diaphragm (P = 0.0086) signs were observed significantly more often in blunt trauma than in penetrating trauma. Contiguous injury on either side of the diaphragm was observed more often in penetrating trauma (83.3%) than in blunt trauma (17.7%).
CONCLUSION
Knowledge of the mechanism of injury and familiarity with all CT signs of diaphragmatic injury are necessary to avoid a missed diagnosis because there is variability in the overall occurrence of these signs, with significant differences between blunt and penetrating trauma.
Details
- Title: Subtitle
- Traumatic diaphragmatic injury: a review of CT signs and the difference between blunt and penetrating injury
- Creators
- Ananya Panda - All India Institute of Medical SciencesAtin Kumar - All India Institute of Medical SciencesShivanand Gamanagatti - All India Institute of Medical SciencesAruna Patil - All India Institute of Medical SciencesSubodh Kumar - All India Institute of Medical SciencesAmit Gupta - All India Institute of Medical Sciences
- Resource Type
- Journal article
- Publication Details
- Diagnostic and interventional radiology (Ankara, Turkey), Vol.20(2), pp.121-128
- Publisher
- TURKISH SOC RADIOLOGY
- DOI
- 10.5152/dir.2013.13248
- PMID
- 24412818
- PMCID
- PMC4463306
- ISSN
- 1305-3825
- eISSN
- 1305-3612
- Number of pages
- 8
- Language
- English
- Date published
- 03/01/2014
- Academic Unit
- Radiology
- Record Identifier
- 9984697723602771
Metrics
6 Record Views