An exploratory radiologic index for evaluating diaphragmatic injury risk in left thoracoabdominal penetrating stab wounds: the diaphragmatic penetration index
Ekrem Cakar, Onur Olgac Karagulle, Yavuz Selim Komek, Mahmut Emin Cicek, Mustafa Ayvazoglu, Ibrahim Taskin Rakici, Mert Mahsuni Sevinc · 2026
Read An exploratory radiologic index for evaluating diaphragmatic injury risk in left thoracoabdominal penetrating stab wounds: the diaphragmatic penetration index by Ekrem Cakar, Onur Olgac Karagulle, Yavuz Selim Komek, Mahmut Emin Cicek, Mustafa Ayvazoglu, Ibrahim Taskin Rakici, Mert Mahsuni Sevinc (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13551698.txt.
Description
Ekrem Cakar, leading six colleagues, published a 2026 study proposing a simple index for hidden diaphragm injury after stab wounds to the left chest-abdomen border. Such injuries can stay silent, then allow organs to herniate dangerously. The retrospective study covered 67 adults with single-entry wounds who had surgical exploration between 2010 and 2025, measuring wound-to-diaphragm distance and diaphragm area on CT scans.
Diaphragm injury was confirmed during surgery in about a third of patients. Distance alone did not predict injury significantly, while diaphragm area and the combined index reached significance with only modest discrimination in the reported analysis. Comparing the two showed area drove the index's performance, so the authors present the measure as exploratory rather than decisive.
Catalog record
| CREATOR | Ekrem Cakar, Onur Olgac Karagulle, Yavuz Selim Komek, Mahmut Emin Cicek, Mustafa Ayvazoglu, Ibrahim Taskin Rakici, Mert Mahsuni Sevinc |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 35170 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |