2010
DOI: 10.4103/0974-2700.58659
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Blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver

Abstract: Acute right hemidiaphragm rupture with abdominal visceral herniation is reportedly less common than on the left. We present a complex case of blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver in a multiply injured patient. The diagnostic approach, with specific reference to the imaging studies, and surgical management is discussed, followed by a brief literature review highlighting the complexities of the case.

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Cited by 11 publications
(12 citation statements)
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“…In all cases of diaphragm tears, splenic injuries occur in 27% -63% of the cases. Other commonly associated abdominal injuries include pelvic and renal injuries and associated intrathoracic injuries include hemopneumothorax and rib fractures [12] [13]. There was no associate injuries in our patient.…”
Section: Discussionmentioning
confidence: 77%
“…In all cases of diaphragm tears, splenic injuries occur in 27% -63% of the cases. Other commonly associated abdominal injuries include pelvic and renal injuries and associated intrathoracic injuries include hemopneumothorax and rib fractures [12] [13]. There was no associate injuries in our patient.…”
Section: Discussionmentioning
confidence: 77%
“…Diaphragmatic ruptures can occur with both blunt and penetrating trauma which can be associated with intrathoracic herniation of abdominal viscera [1]. Following blunt thoracoabdominal trauma, diaphragmatic rupture is reported in 0.8-3.6% of patients [2].…”
Section: Discussionmentioning
confidence: 99%
“…Thoracic signs include decreased breath sounds, fractured ribs, flail chest, and signs of haemothorax or pneumothorax. Auscultation of bowel sounds in the chest is pathognomonic, especially in left-diaphgramatic ruptures due to thoracic intestinal herniation [1]. Abdominal signs include abdominal swelling, guarding, tenderness and absence of bowel sounds depending on the extent of injury.…”
Section: Discussionmentioning
confidence: 99%
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