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Late diaphragmatic laceration detected as a result of spontaneous pneumothorax
Noboru Nishiumi1, Shigeaki Inoue, Takahisa Koizumi
1General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan. nishiumi@is.icc.u-tokai.ac.jp
Abstract:
Injury to the right diaphragm is sometimes missed in the acute stage and is detected only when the rupture becomes more extensive, a diaphragmatic hernia develops, and dyspnea ensues. We report a case in which spontaneous right pneumothorax developed 46 months after blunt trauma due to a fall. Air had leaked into the right pleural cavity, passed through the injured right diaphragm, and entered the abdominal cavity; the patient presented with intraperitoneal emphysema.
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