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Case Reports
Delayed herniation of intra-abdominal contents after blunt right-sided diaphragm rupture.
- Min-Po Ho, Yuan-Hui Wu, Kaung-Chau Tsai, Jiann-Ming Wu, and Wing-Keung Cheung.
- Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
- Am J Emerg Med. 2012 Nov 1;30(9):2089.e1-3.
AbstractRight diaphragmatic hernia is a rare injury (0.25%-1%) after blunt abdominal trauma. The diagnosis may be delayed and achieved years after the trauma. We currently report a case of a 48-year-old man who presented to the emergency department at Far Eastern Memorial Hospital, New Taipei City, Taiwan, demonstrating signs of herniation of the right diaphragm. The herniation was confirmed using a chest radiograph. The patient reported falling 3 years before the current evaluation and was symptom-free before arrival in the emergency department. The diagnosis was further confirmed through thoracoabdominal computed tomography. The diaphragmatic hernia was subsequently repaired via abdominal approach. For patients with a history of prior thoracoabdominal trauma with complaints of new abdominal pain, a delayed diaphragmatic hernia should be considered.
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