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. 2009 Oct;35(5):499-502.
doi: 10.1007/s00068-008-8124-7. Epub 2009 Jan 9.

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

Matthijs P Somford  1 , Hans K S Nuytinck  1 , Dagmar I Vos  2   3
Affiliations

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

Matthijs P Somford et al. Eur J Trauma Emerg Surg. 2009 Oct.

Abstract

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.

Keywords: Blunt trauma; Hepatothorax; Motor vehicle accidents; Right-sided diaphragm rupture.

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