title: [Traumatic diaphragmatic rupture].
abstract: Traumatic diaphragmatic rupture is an infrequent lesion that can result from penetrating or blunt trauma to the abdomen or chest. Early diagnosis continues to be a challenge and this type of injury is associated with high morbidity and mortality. Preoperative diagnosis is difficult and a high level of suspicion, careful scrutiny of the chest x-ray, and early surgical treatment are required for successful management. We present a case of rupture of the left hemidiaphragm that was diagnosed and treated successfully within the first few hours. We also review the literature on controversial issues in the diagnosis and treatment of this injury.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen de las Nieves, Granada, España. ana08279@yahoo.es
authors.forename: Ana
authors.initials: A
authors.lastname: García-Navarro
authors.forename: Jesús María
authors.initials: JM
authors.lastname: Villar-Del Moral
authors.forename: Karim
authors.initials: K
authors.lastname: Muffak-Granero
authors.forename: Antonio
authors.initials: A
authors.lastname: Palomeque-Jiménez
authors.forename: Alfonso
authors.initials: A
authors.lastname: Mansilla-Roselló
authors.forename: Daniel
authors.initials: D
authors.lastname: Garrote-Lara
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Ramia-Angel
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Ferrón-Orihuela
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D006801:Humans; D008297:Male; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*