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Eric P. Melzig, MD; Michael Swank, MD; Arnold M. Salzberg, MD

Arch Surg. 1976;111(9):1009-1011.

Abstract
• Two patients had acute rupture of the diaphragm from blunt trauma. One was a 10-month-old infant, the youngest yet reported with this condition to our knowledge. He required emergency repair because of increasing encroachment on respiratory function by the hernial contents during the early hours of observation. The second patient, a ten-year-old boy with an associated fractured femur, underwent successful repair of a diaphragmatic laceration that included the pericardium. In this case the approach via the abdomen, used to rule out associated intraperitoneal injuries, actually facilitated the repair, particularly that of the diaphragmatic pericardium.

(Arch Surg 111:1009-1011, 1976)

Author Affiliations
From the Department of Surgery, divisions of pediatric and thoracic and cardiovascular surgery, Health Sciences Division, Virginia Commonwealth University, Richmond.

Footnotes
Accepted for publication May 14, 1976.

Reprint requests to Medical College of Virginia, 1200 E. Broad St, PO Box 15, Richmond, VA 23298 (Dr Salzberg).

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