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Tuberc Respir Dis > Volume 66(3); 2009 > Article
Tuberculosis and Respiratory Diseases 2009;66(3):241-245.
DOI: https://doi.org/10.4046/trd.2009.66.3.241    Published online March 1, 2009.
Delayed Diagnosis of a Traumatic Diaphragmatic Injury.
Seon Wook Park, , Cheol Hong Kim, , Ji Youn Kim, , Seung Hwa Lee, , Young Wook Kim, , In Gyu Hyun, , Ho Seung Shin,
1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. kimch2002@hallym.or.kr
2Department of Thoracic and Cardiovascular Surgery, Hallym University College of Medicine, Seoul, Korea.
Abstract
Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.
Key Words: Diaphragm, Injury, Trauma
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