title: Late diaphragmatic laceration detected as a result of spontaneous pneumothorax.
abstract: Injury to the right diaphragm is sometimes missed in the acute stage and is detected only when the rupture becomes more extensive, a diaphragmatic hernia develops, and dyspnea ensues. We report a case in which spontaneous right pneumothorax developed 46 months after blunt trauma due to a fall. Air had leaked into the right pleural cavity, passed through the injured right diaphragm, and entered the abdominal cavity; the patient presented with intraperitoneal emphysema.
authors.affiliation: General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan. nishiumi@is.icc.u-tokai.ac.jp
authors.forename: Noboru
authors.initials: N
authors.lastname: Nishiumi
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Inoue
authors.forename: Takahisa
authors.initials: T
authors.lastname: Koizumi
authors.forename: Atushi
authors.initials: A
authors.lastname: Suga
authors.forename: Masayuki
authors.initials: M
authors.lastname: Iwasaki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Inoue
mesh_terms: D000368:Aged; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D022125:Lacerations / Q000209:etiology* / Q000601:surgery; D008297:Male; D011030:Pneumothorax / Q000150:complications* / Q000601:surgery; D012422:Rupture, Spontaneous / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed