Injuries to the diaphragm
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چکیده
Diaphragmatic injuries (DI)-a frequent accompaniment of thoraco abdominal trauma remains a diagnostic challenge to surgeons and radiologists. (1-4) Case reports and case series describe myriad ways in which this condition can present early, or in a delayed fashion following either blunt or penetrating trauma (5-9). However it is important to recognize DI early because of the serious morbidity and mortality associated with missed DI. For example, Degiannis reported 3% mortality for diaphragmatic injury diagnosed on a first admission, and 25% mortality for diaphragmatic injury diagnosed in a delayed fashion on the second admission after penetrating trauma in an African setting (10). Following blunt trauma, delayed treatment of diaphragmatic injury carried a 10% mortality and a 30% major operative morbidity rate in a small series of ten patients (11)
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