TRAUMATIC DIAPHRAGMATIC RUPTURE_MANAGED AT A TERTIARY LEVEL HOSPITAL IN EASTERN INDIA
*Dr. Mohd. Shahbaaz Khan and Dr. Shantanu Dutta
Diaphragmatic rupture occurs due to blunt or penetrating injury. This can have either an acute presentation or delayed as respiratory distress or obstruction and can be managed through a laparotomy or a thoracotomy. Traumatic diaphragmatic herniation was first described in 1541 by Sennertus. In 1579 Ambrose Pare described 2 cases of traumatic diaphragmatic hernia. One of his patients, an artillery captain, lived for 8 months after a gunshot wound through the chest. At autopsy he was found to have a transverse colon herniated through a thumb-sized rent in the diaIhragm. The diagnosis of traumatic diaphragmatic hernia in a living person was first made by an American, H. I. Bowditch, in 1853. The first successful repair of a lacerated diaphragm produced by a penetrating injury was done in 1886 by Riolfi. In 1899 Walker successfully reduced a diaphragmatic hernia and repaired the diaphragm in a patient who had been crushed beneath a falling tree.
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