title: Undiagnosed rupture of right hemidiaphragm--hepatothorax: a case report.
abstract: A case of late diagnosis of right diaphragmatic rupture due to blunt trauma is presented. Traumatic diaphragmatic rupture is an uncommon but severe problem in a patient with multiple injuries. One third of left-sided ruptures and half of right-sided ruptures have been undetected for several days. Traumatic diaphragmatic rupture should be suspected on the basis of an abnormal chest X-ray in patients with multiple injuries. Imaging studies like computed tomography, scan and magnetic resonance imaging can be helpful for differential diagnosis. Right-sided injuries occur more commonly than previously thought and often require thoracotomy.
authors.affiliation: Department of Thoracic Surgery, Erasme Hospital, University Clinics of Brussels, Brussels, Belgium.
authors.forename: A D
authors.initials: AD
authors.lastname: Hoang
authors.forename: D
authors.initials: D
authors.lastname: De Backer
authors.forename: F
authors.initials: F
authors.lastname: Bouazza
authors.forename: M
authors.initials: M
authors.lastname: Capello
authors.forename: Ph
authors.initials: P
authors.lastname: De Francquen
authors.forename: P
authors.initials: P
authors.lastname: Rocmans
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D012421:Rupture; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed