文章基本信息

标题：Traumatic Diaphragmatic Rupture – A Case Report
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作者：Hussey, Vincent ; Thomas, Claire
期刊名称：Journal of Education and Teaching in Emergency Medicine
印刷版ISSN：2474-1949
出版年度：2019
卷号：4
期号：4
页码：1-3
DOI：10.21980/J8G64H
出版社：University of California Press
摘要：Although uncommon, traumatic diaphragmatic rupture (TDR) from blunt force injury is difficult to diagnose and can lead to serious complications if left untreated. Associated symptoms are often non-specific, which can make detection of the injury difficult. Here we present a case report of a patient who suffered a leftsided TDR after blunt trauma. Upon arrival at the emergency department, the patient denied pain but had tenderness to palpation over the epigastrium. A chest X-ray showed an elevated diaphragm on the left with mediastinal shift to the right, and a diagnosis of TDR with stomach herniation was confirmed by computed tomography (CT). The patient was admitted to surgery for reduction and repair and later discharged in good condition. This case report highlights the importance of suspecting TDR in high energy injury mechanisms presenting to the emergency department.