Isolated right diaphragmatic rupture following blunt trauma |
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Authors: | Ioannis Baloyiannis Vasileios K. Kouritas Konstantinos Karagiannis Michalis Spyridakis Matheos Efthimiou |
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Affiliation: | (1) Division of GI Surgery, University of Nottingham, Graduate Entry Medical School, Uttoxeter Road, Derby, DE22 3DT, UK;(2) Department of Upper GI Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK;(3) Department of Radiology, Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE, UK |
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Abstract: | Blunt diaphragmatic injuries are usually caused by blunt trauma or penetrating injuries. The diagnosis may be delayed or missed because of the confusing clinical and radiographic findings and the presence of multiple associated injuries. We report the case of an isolated right diaphragm rupture in a 56-year-old man who sustained blunt thoracic trauma after car accident 2 weeks before presentation. No other injuries were detected, and he was subjected to laparotomy. Diaphragmatic rupture is perceived as an emergency entity. The late appearance of such an injury, without other accompanying injuries, is rare and should be in mind by clinicians treating trauma patients who have a delayed presentation after the injury. |
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