Volume 24, Issue 160 (10-2017)                   RJMS 2017, 24(160): 17-21 | Back to browse issues page

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Monshizadeh S, Arabi M, Pahlevani R, Rezayi Tavierani M. A Case Report of missed Traumatic rupture of diaphragm. RJMS. 2017; 24 (160) :17-21
URL: http://rjms.iums.ac.ir/article-1-4615-en.html
MD-MPH student, International Campus (IC), Medical School Iran University of Medical Sciences, Teheran, Iran
Abstract:   (2279 Views)

Background: The diaphragm is the main respiratory muscle; the diaphragm can rupture in the field of blunt trauma, penetrating trauma or occur following medical procedures. Approximately 0.8 to 1.6% of patients with blunt trauma are suspected to have a rupture of the diaphragm. As diaphragmatic rupture is a rare clinical condition, so it may be undiagnosed and associated with complications and high mortality and morbidity.
Case report: In this study we report a 53-year-old man, with history of blunt trauma five years ago, but during this period, remained undiagnosed. For shortness of breath, he visits physicians frequently and just receives medical treatment during these years. Finally, requested abdominal X-ray showed diaphragmatic rupture and herniation of the left side of the colon into the thoracic area.
Conclusion: Having a strong clinical suspicion, taking a thorough history of the patient, performing an accurate physical examination and doing an essential diagnostic procedures should all be considered to help confirm the diagnosis.
 

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Type of Study: case report | Subject: General Surgery

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