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Traumatic Diaphragmatic Injury
  1. BS Morgan, CT2 ACCS Trainee1,
  2. T Watcyn-Jones, Clinical Fellow in Renal Transplant Surgery2 and
  3. Lt Col JP Garner, MD FRCSEd(Gen Surg), Consultant Colorectal Surgeon3
  1. 1East Midlands Deanery, Queens Medical Centre, Nottingham
  2. 2St Georges Hospital, London
  3. 3Rotherham NHS Foundation Trust, Moorgate Road, Rotherham South Yorkshire S60 2UD editor.jramc{at}googlemail.com

Abstract

Traumatic diaphragmatic injury is a not uncommon accompaniment to blunt or penetrating trauma to the abdomen or thorax; it may present acutely with haemodynamic and respiratory compromise and be associated with significant injury to other organs or may not be diagnosed at the initial trauma at all and present later as a diaphragmatic hernia. This overview examines the incidence, pathophysiology and management of this condition.

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