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Ann R Coll Surg Engl · Mar 2013
Case ReportsTraumatic diaphragmatic hernia: delayed presentation with tension viscerothorax--lessons to learn.
- M S Al Skaini, A Sardar, H Haroon, S M Al Ghamdi, Abdulla Homran, and M Ezzedien Rabie.
- Armed Forces Hospitals Southern Region, Saudi Arabia.
- Ann R Coll Surg Engl. 2013 Mar 1;95(2):e27-9.
AbstractDiaphragmatic rupture is a serious complication of thoracoabdominal trauma. The condition may be missed initially. We describe the clinical course of a patient who sustained blunt abdominal trauma in a car accident. His diaphragmatic injury passed unnoticed, to present two years later with left tension viscerothorax, a rarely reported and hardly recognised entity. Nasogastric tube insertion aborted the emergency situation and the hernia was repaired successfully in a semielective setting.
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