Evolving concepts in MDCT diagnosis of penetrating diaphragmatic injury

David Dreizin, Peter J. Bergquist, Anil T. Taner, Uttam K. Bodanapally, Nikki Tirada, Felipe Munera

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


This article reviews current and evolving concepts in the diagnosis of penetrating diaphragmatic injury with multidetector CT (MDCT). As criteria for nonoperative management in the setting of penetrating trauma become more inclusive, confident exclusion of penetrating diaphragmatic injury (PDI) has become imperative. Diagnostic performance of MDCT for PDI has improved substantially with the use of thin sections and multiplanar reformats. Evaluation of injury trajectory in nonstandard planes using 3D post-processing software can aid in the diagnosis. Contiguous injury and transdiaphragmatic trajectory are the best predictors of PDI. Careful appraisal of the diaphragm for defects should be undertaken in all patients with thoracoabdominal penetrating trauma.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalEmergency Radiology
Issue number2
StatePublished - Apr 2015


  • Diaphragm
  • MDCT
  • Multiplanar reformats
  • Nonoperative management
  • Penetrating trauma

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging


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