Undiagnosed rupture of right hemidiaphragm--hepatothorax: a case report

A case of late diagnosis of right diaphragmatic rupture due to blunt trauma is presented. Traumatic diaphragmatic rupture is an uncommon but severe problem in a patient with multiple injuries. One third of left-sided ruptures and half of right-sided ruptures have been undetected for several days. Tr...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 102; no. 5; p. 353
Main Authors Hoang, A D, De Backer, D, Bouazza, F, Capello, M, De Francquen, Ph, Rocmans, P
Format Journal Article
LanguageEnglish
Published England 01.10.2002
Subjects
Adult
Diaphragm - injuries
Hernia, Diaphragmatic, Traumatic - diagnosis
Hernia, Diaphragmatic, Traumatic - surgery
Humans
Liver Diseases - diagnosis
Liver Diseases - surgery
Magnetic Resonance Imaging
Male
Rupture
Thoracotomy
Tomography, X-Ray Computed
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Summary:A case of late diagnosis of right diaphragmatic rupture due to blunt trauma is presented. Traumatic diaphragmatic rupture is an uncommon but severe problem in a patient with multiple injuries. One third of left-sided ruptures and half of right-sided ruptures have been undetected for several days. Traumatic diaphragmatic rupture should be suspected on the basis of an abnormal chest X-ray in patients with multiple injuries. Imaging studies like computed tomography, scan and magnetic resonance imaging can be helpful for differential diagnosis. Right-sided injuries occur more commonly than previously thought and often require thoracotomy.
ISSN:0001-5458
DOI:10.1080/00015458.2002.11679330