Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Aug 2004
Case Reports[Right uncontrollable haemothorax revealing a liver injury with diaphragmatic rupture].
We report a case of a woman with a blunt thoracic trauma and haemorrhagic shock after a road traffic accident. The clinical and complementary examinations revealed an isolated right haemothorax, which was compressive and uncontrollable. The source of bleeding was discovered with delay and during a surgical exploration: it was a liver injury with diaphragmatic rupture but without hepatic herniation and peritoneal effusion. The diagnostic features of blunt diaphragmatic rupture are discussed.