TRAUMATIC DIAPHRAGMATIC RUPTURE_MANAGED AT A TERTIARY LEVEL HOSPITAL IN EASTERN INDIA

*Dr. Mohd. Shahbaaz Khan and Dr. Shantanu Dutta

ABSTRACT

Diaphragmatic rupture occurs due to blunt or penetrating injury. This can have either an acute presentation or delayed as respiratory distress or obstruction[1] and can be managed through a laparotomy or a thoracotomy.[2] Traumatic diaphragmatic herniation was first described in 1541 by Sennertus.[3] 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.[4] 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.[5]

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