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Title: Traumatic rupture of the diaphragm resulting in the sub-acute presentation of an incarcerated intra-thoracic transverse colon.
Austin Authors: Kunz, Stephen A ;Goh, Su Kah ;Stelmach, Wanda;Seevanayagam, Siven 
Affiliation: Surgery
Department of Surgery, Northern Health, Epping 3076, Victoria
Issue Date: Mar-2017
Date: 2017
Publication information: Journal of Surgical Case Reports 2017; 2017(3): rjx057
Abstract: The traumatic rupture of the diaphragm after blunt or penetrating injuries is a well described but uncommon entity. Its presentation in the form of herniated abdominal contents into the thoracic cavity is generally obscure and the recognition of this condition is often challenging. Although many cases remain asymptomatic, significant morbidity and mortality ensues with patients who present with incarceration, strangulation and eventual visceral compromise. Definitive guidelines in the management of traumatic diaphragmatic injuries are still lacking. This report outlines a case of sub-acute presentation of a traumatic diaphragmatic rupture in an elderly female following a motor vehicle accident that required urgent surgical intervention. We reviewed the pertinent literature, with an emphasis on the operative approach and the type of repair of the traumatic diaphragmatic defect.
DOI: 10.1093/jscr/rjx057
ORCID: 0000-0001-7424-9472
Journal: Journal of Surgical Case Reports
PubMed URL: 28458863
ISSN: 2042-8812
Type: Journal Article
Appears in Collections:Journal articles

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