Late-onset traumatic rupture of the diaphragm: two case reports

Ruptured diaphragm as a result of blunt thorax or abdominal trauma can present acutely or late in the disease. Symptoms may be nonspecific and diagnosis can easily be missed. Patients may present with dyspnea, chest pain or cough. Chest radiograph, CT scan, and MRI are the primary diagnostic tools. Clinicians must have a high index of suspicion for prompt diagnosis, especially in patients with a history of trauma to the abdomen or thorax. The only treatment in diaphragm rupture is surgery. We report two cases of traumatic diaphragm ruptures presenting years after the trauma.

Geç dönem saptanan travmatik diyafram yýrtýðý: Ýki olgu sunumu

Toraks ve karýn bölgesinde, künt veya penetran travmalara baðlý olarak diyafram yýrtýðý meydana gelebilir. Belirgin iþaretleri, fiziksel inceleme bulgusu ve radyografik görüntüsü bulunmayan olgularda diyafram yýrtýðýnda taný kolaylýkla atlanabilir. Torako-abdominal bölge travmasý ile baþvuran hastalarda diyafram yýrtýðý olabileceði akla getirilmelidir. Taný konulamayan olgularda semptomlar geç dönem ortaya çýkabileceði gibi hiç bulgu vermeyebilir. Travmatik diyafram yýrtýðýnýn tedavisi cerrahidir. Bu yazýda, travmadan yýllar sonra tanýsý konan iki gecikmiþ diyafram yýrtýðý olgusu sunuldu.