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Case Reports
. 2003 Apr;96(4):181-3.

Delayed presentation of traumatic rupture of the diaphragm

Garrick L Shreck  1 , Thomas W Toalson
Affiliations
  • PMID: 12733206
Case Reports

Delayed presentation of traumatic rupture of the diaphragm

Garrick L Shreck et al. J Okla State Med Assoc. 2003 Apr.

Abstract

Ruptured diaphragm as a result of blunt trauma can present acutely or late in the disease, process. Late presentation is often a result of herniation of abdominal contents into the thorax. Patients may present with nonspecific symptoms, and may complain of chest pain, abdominal pain, dyspnea, tachypnea, or cough. Clinicians must have a high index of suspicion for prompt diagnosis. Diagnostic tools include chest radiograph, CT scan, and MRI. The treatment for rupture of the diaphragm is surgical. The authors report a case of traumatic rupture of the diaphragm presenting 20 years after an automobile accident with blunt trauma to the abdomen.

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