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Traumatic diaphragmatic hernia associated with pelvic fractures: a case report and literature review
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    Abstract:

    Objective: To review the epidemiological feature, clinical, and diagnostic data of post-traumatic diaphragmatic hernia (TDH) associated with pelvic fractures patients reported in recent 10 years. Methods: One case of delayed presentation of TDH after pelvic fractures taken place one month later was present, with a review on the literature of this kind of patients in our country. Results:The incidence of TDH associated with pelvic fractures was relatively rare, and the diagnosis were often delayed or missed. Although the trans-thorax approach was preferred for surgical closure in the acute phase, its mortality was 8.51%. Conclusion: TDH associated with pelvic fractures is difficult to diagnose because of their varied clinical and radiological signs and the patients may not present with symptoms for a long time following the injury. In clinical, a high index of suspicion with appropriate examination is the mainstays of management,which can also increase the prognosis.

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Dou Wu, Qiang Liu, Junchang Cheng, Shufeng Han.[J].南京医科大学学报(自然科学版),2005,19(4):

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