[An unusual trauma in labor: diaphragmatic rupture].
We present a case of a delayed diagnosed traumatic diaphracmatic rupture and herniation in a 49-year-old woman. The rupture was secondary to trauma sustained 26 years ago during delivery, when the obstetrician pressed his hands against the upper abdominal wall of the patient. She perceived a sudden violent pain in her left belly. In the following years the pain never disappeared. But only after the period of more than two decades, diagnosis was made when abdominal organs prolapsed into the thoracic space. After the operation, the patient was free of pain. We believe this to be the first reported case of traumatic diaphragmatic rupture due to delivery.
Zimmermann
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Klinik für Allgemein- und Thoraxchirurgie der Justus Liebig-Universität Giessen.
D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D011247:Pregnancy; D014057:Tomography, X-Ray Computed