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Research ArticleOriginal Article
Open Access

Diaphragmatic injury. A clinical review

Maha S. Abdel Hadi, Abdulmohsen A. Al-Mulhim, Naif I. Al-Awad, Hazem M. Zakaria and Majed S. Al-Awami
Saudi Medical Journal October 2001, 22 (10) 890-894;
Maha S. Abdel Hadi
Department of Surgery, King Fahad Hospital of the University, PO Box 2208, Al Khobar 31952, Kingdom of Saudi Arabia. Fax. +966 (3) 8823720. E-mail: [email protected]
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  • For correspondence: [email protected]
Abdulmohsen A. Al-Mulhim
Department of Surgery, King Fahad University, Dammam, Kingdom of Saudi Arabia.
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Naif I. Al-Awad
Department of Surgery, King Fahad University, Dammam, Kingdom of Saudi Arabia.
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Hazem M. Zakaria
Department of Surgery, King Fahad University, Dammam, Kingdom of Saudi Arabia.
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Majed S. Al-Awami
Department of Surgery, King Fahad University, Dammam, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: Recent experience at King Fahad Hospital of the University, Al-Khobar University, Kingdom of Saudi Arabia was reviewed to identify the pitfalls in the diagnosis of diaphragmatic injuries, and attempt to develop a scheme by which early diagnosis is achieved in order to avoid the sequelae of delayed presentations.

METHODS: A retrospective chart review of patients admitted to the surgical service, with the diagnosis of diaphragmatic injury was undertaken during the period June 1994 through to June 1999.

RESULTS: The total number was 8 patients, and the age ranged between 6-71 years. Of these patients 5 were diagnosed immediately post-traumatic, 2 with delayed presentation, and one with recurrent post-traumatic repair. This case was excluded. Six patients presented following blunt and one after penetrating trauma. Rupture occurred mainly on the left dome of the diaphragm in 5 patients and on the right in 2. Complications ranged from mild chest symptoms to severe respiratory and multi-system involvement.

CONCLUSION: Diaphragmatic injuries occurred in 2%-5% of multiple trauma victims. It is considered a predictor of serious associated injuries, However, as many as 10%-30% are missed during the initial evaluation. A high index of suspicion is required, and judicious use of diagnostic aids should be employed to reach early diagnosis to avoid the sequelae of missed injuries.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (10)
Saudi Medical Journal
Vol. 22, Issue 10
1 Oct 2001
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Diaphragmatic injury. A clinical review
Maha S. Abdel Hadi, Abdulmohsen A. Al-Mulhim, Naif I. Al-Awad, Hazem M. Zakaria, Majed S. Al-Awami
Saudi Medical Journal Oct 2001, 22 (10) 890-894;

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Diaphragmatic injury. A clinical review
Maha S. Abdel Hadi, Abdulmohsen A. Al-Mulhim, Naif I. Al-Awad, Hazem M. Zakaria, Majed S. Al-Awami
Saudi Medical Journal Oct 2001, 22 (10) 890-894;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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