title: [Secondary traumatic diaphragmatic hernia with incarceration--a diagnostic problem].
abstract: In this paper we discuss the case of a 64-year-old patient suffering from a traumatic rupture of the diaphragm with delayed manifestation three years after the trauma. The subsequent diagnostic errors gave rise to a discussion of the value of the physical examination, imaging methods and invasive diagnostic methods, particularly laparoscopy and thoracoscopy in the acute and delayed diagnosis of diaphragmatic injuries.
authors.affiliation: Departement für Chirurgie, Universitätsspital Zürich.
authors.forename: M
authors.initials: M
authors.lastname: Röthlin
authors.forename: R
authors.initials: R
authors.lastname: Schmid
authors.forename: R
authors.initials: R
authors.lastname: Speich
authors.forename: F
authors.initials: F
authors.lastname: Largiadèr
mesh_terms: D001145:Arrhythmias, Cardiac / Q000628:therapy*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011030:Pneumothorax / Q000175:diagnosis / Q000601:surgery; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Zweizeitige, traumatische Zwerchfellhernie mit Incarceration--ein diagnostisches Problem.