title: [Traumatic diaphragmatic hernia presenting with shock 1 year after blunt injury; report of a case].
abstract: A 62-year-old male who had had the left femoral neck fracture due to a traffic accident 1 year earlier was admitted to our hospital because of abdominal pain. He was diagnosed with a left traumatic diaphragmatic hernia due to the previous traffic accident; his condition was also complicated by shock because the mediastinum was compressed by his severely dilated stomach. We performed an emergent operation. A thoracotomy revealed a large defect, about 5 cm in size, at the central tendon of the left diaphragm and a severely dilated stomach in the left thoracic cavity. The ruptured diaphragm was closed directly after reduction of the stomach.
authors.affiliation: Department of Surgery, Shirataka Town Hospital, Yamagata, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Kanauchi
authors.forename: T
authors.initials: T
authors.lastname: Fujishima
authors.forename: H
authors.initials: H
authors.lastname: Oizumi
mesh_terms: D000063:Accidents, Traffic; D006549:Hernia, Diaphragmatic, Traumatic / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012769:Shock / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery