• Ulus Travma Acil Cer · Mar 2012

    Case Reports

    Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report.

    • Anand Kuppusamy, Gayathri Ramanathan, Jayakar Gurusamy, Balaji Ramamoorthy, and Karunanithi Parasakthi.
    • Department of Anaesthesiology, SRM Medical College Hospital & Research Centre, Kattankulathur, Tamilnadu, India. dranand.k@hotmail.com
    • Ulus Travma Acil Cer. 2012 Mar 1; 18 (2): 175-7.

    AbstractDiaphragmatic rupture is a potentially life-threatening clinical situation. It occurs as a result of high-velocity blunt or penetrating injury to the abdomen and thorax. Acute traumatic rupture of the diaphragm may go undetected, and there is often a delay between the injury and diagnosis. Right-sided rupture is less common due to hepatic protection and increased strength of the right hemidiaphragm. We report the case of a 28-year-old man who was admitted with breathlessness to our hospital, 72 hours after trauma. Since clinical signs and symptoms were nonspecific, helical computed tomography was done, which revealed diaphragmatic rupture with hepatothorax. Emergency thoracotomy was done to repair diaphragmatic rent. The postoperative period was uneventful, and the patient was discharged three weeks later.

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