title: Intrathoracic cancer of the splenic flexure.
abstract: Blunt traumatic rupture of the diaphragm is a well known but uncommon event of thoracoabdominal traumatic injuries. It occurs in 1-5% of polytrauma patients and requires a high degree of suspicion for a rapid diagnosis. The frequency of delayed diagnosis is difficult to be estimated and up to 30% of blunt diaphragmatic ruptures present late. A case of herniated splenic colic flexure through a defect in the left hemidiaphragm and the subsequent development of colon cancer in this area are presented. We emphasize the importance of making a prompt diagnosis in order to avoid further morbidity and mortality in this rare clinical entity.
authors.affiliation: Department of General Surgery, "G. Hatzikosta" General Hospital, Makriyianni Avenue, Ioannina, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Pappas-Gogos
authors.forename: E A
authors.initials: EA
authors.lastname: Karfis
authors.forename: J
authors.initials: J
authors.lastname: Kakadellis
authors.forename: E C
authors.initials: EC
authors.lastname: Tsimoyiannis
mesh_terms: D000063:Accidents, Traffic; D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000368:Aged; D003082:Colectomy / Q000379:methods; D044684:Colon, Transverse; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000293:injuries*; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications*; D009367:Neoplasm Staging; D011138:Polytetrafluoroethylene; D019919:Prosthesis Implantation / Q000295:instrumentation; D011860:Radiography, Abdominal; D012421:Rupture; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
chemical_list: D011138:Polytetrafluoroethylene