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Case Reports
[Traumatic diaphragmatic hernia presenting with shock 1 year after blunt injury; report of a case].
- N Kanauchi, T Fujishima, and H Oizumi.
- Department of Surgery, Shirataka Town Hospital, Yamagata, Japan.
- Kyobu Geka. 2006 Nov 1;59(12):1123-6.
AbstractA 62-year-old male who had had the left femoral neck fracture due to a traffic accident 1 year earlier was admitted to our hospital because of abdominal pain. He was diagnosed with a left traumatic diaphragmatic hernia due to the previous traffic accident; his condition was also complicated by shock because the mediastinum was compressed by his severely dilated stomach. We performed an emergent operation. A thoracotomy revealed a large defect, about 5 cm in size, at the central tendon of the left diaphragm and a severely dilated stomach in the left thoracic cavity. The ruptured diaphragm was closed directly after reduction of the stomach.
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