title: Delayed presentation of traumatic diaphragmatic rupture.
abstract: We present the case of a 57-year-old woman who suffered a delayed presentation of a traumatic diaphragmatic rupture (TDR). Because TDR is frequently missed on initial presentation, a delay between trauma and diagnosis can present a unique diagnostic dilemma for the emergency physician. Important historical clues and physical examination findings are the keys to making this diagnosis.
authors.affiliation: Department of Emergency Medicine, Palmetto Health Richland, Columbia, South Carolina 29203, USA.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Walchalk
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Stanfield
mesh_terms: D000063:Accidents, Traffic; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D012421:Rupture; D013898:Thoracic Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery