DOI: 10.36347/sasjs.2021.v07i12.002

Pages: 751-755

Diaphragmatic ruptures represent a rare clinical entity, but potentially serious and often integrated into multiple traumas. Our study was about 17 cases collected in the visceral surgery department of CHU Hassan II in Fez, over a period of 8 years from January 2012 to December 2020. We reviewed the literature, in order to highlight the main characteristics of these lesions. In our series, the mean age of our patients was 46 years, with a predominance of men and a sex ratio of 3,2. Left RTDs are more common, but the incidence of right RTDs is increasing. Clinically, dyspnea and abdominal pain are the main functional signs, each presenting 58.82% of all symptoms. Radiologically, abdominal CT is performed in all patients and confirmed the diagnosis. The treatment was surgical in all patients: a midline laparotomy was performed in 14 patients (82%), on the other hand laparoscopy was performed in 3 patients (18%). The stomach and colon are the most herniated organs. The modalities of repair of the diaphragmatic rupture were simple silk raffia in 88% of cases and prosthetic repair in 12% of cases. The mortality of trauma victims of a ruptured diaphragm is mainly due to associated injuries, especially severe head trauma. The morbidity is mainly pulmonary; it is represented by functional sequelae, which must be prevented by respiratory physiotherapy.