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Ruptured hemidiaphragm: unusual late presentation

E W Cameron1, S E Mirvis

  • 1Department of Radiology, Charing Cross Hospital, London, United Kingdom.

The Journal of Emergency Medicine
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Undiagnosed diaphragmatic injuries can cause chronic symptoms, leading to emergency admissions. This case highlights delayed diagnosis of a ruptured hemidiaphragm presenting as gastric volvulus 8 months post-trauma.

Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Diaphragmatic injuries are often missed acutely after trauma.
  • Delayed diagnosis can lead to chronic, debilitating symptoms.
  • Intestinal obstruction is a potential late complication of unrecognized diaphragmatic rupture.

Observation:

  • A female patient presented with acute abdominal pain and gastric volvulus.
  • Symptoms began 8 months after a motor vehicle accident.
  • Chronic chest pain during intercourse was a preceding symptom.

Findings:

  • The patient had an undiagnosed ruptured hemidiaphragm from the prior accident.
  • The diaphragmatic injury led to an intrathoracic mesentero-axial gastric volvulus.
  • Surgical repair of the diaphragm and gastric volvulus was performed.

Related Experiment Videos

Implications:

  • This case underscores the importance of considering diaphragmatic injury in patients with delayed post-traumatic complications.
  • Early recognition and management of diaphragmatic injuries are crucial to prevent severe sequelae.
  • Reviewing literature on delayed presentation of ruptured hemidiaphragm is vital for clinical awareness.