Abstract
Injury to the diaphragm occurs as a result of both penetrating and blunt trauma. BeKassy et al. reported 19 cases of ruptured diaphragm from Leeds; 14 of the patients had a history of trauma, and 4 of these were bullet wounds. The other 5 patients had “spontaneous” rupture of the diaphragm secondary to severe exertion [13,52,95]. Seat belts have also been implicated in diaphragmatic injury. Bergquist et al. reported 6 patients who suffered diaphragmatic tear out of 435 cases of blunt trauma; 4 of the patients wore seat belts. They describe a specific injury combination consisting of diaphragmatic injury, costal fractures, and pelvic or vertebral fracture [16].
Published Version
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