1990•The journal of the Japanese Practical Surgeon SocietyOpen access
THREE CASES OF TRAUMATIC DIAPHRAGMATIC INJURY
Menbohn Chin, Takeshi Hironaka, Makoto Ono, Takashi Hayashi, Katsufumi Hori, Satoru Okumura
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Abstract
Between 1988 and 1989, three cases of traumatic diaphragmatic injury (2 on the left side and one on the right side) were encountered at our hospital. One of the cases on the left side was accompanied by diaphragmatic hernia. The diagnosis could be made in the acute stage in all the 3 cases, one of which was succesfully treated by conservative therapy, and the remainning 2 (including one accompanied by diaphragmatic hernia) by surgery. Since diaphragmatic injuries rarely heal spontaneously, surgery is generally performed once the diagnosis is made. However, our results show a possibility that some cases of simple traumatic diaphragmatic injury can be conservatively treated. Since the definite indications for conservative treatment such as the mechanism of the onset, site, and size of the injury have not yet determined, adequate follow up is necessary. We compared the one case conservatively treated with the other 2 surgically treated for laboratory findings and clinical course.
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