A case of delayed diagnosis of a right-sided diaphragm rupture with a review of the literature

Somford, Matthijs P.; Nuytinck, Hans K. S.; Vos, Dagmar I.
October 2009
European Journal of Trauma & Emergency Surgery;Oct2009, Vol. 35 Issue 5, p499
Academic Journal
Right-sided diaphragm rupture is one of the typical injuries found during a secondary or tertiary survey after a major blunt trauma. This is mainly due to the apparently normal aspect of primary X-rays of the thorax. A right-sided diaphragm rupture can cause severe atelectasis of the right lower lobe of the lung, due to a hepatothorax. We present a case of a delayed diagnosis of right-sided diaphragm rupture, which was discovered by accident because of a new trauma. We review the literature on right-sided diaphragm rupture and its treatment.


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