title: Spontaneous diaphragmatic rupture: case report and literature review.
abstract: Spontaneous diaphragm rupture is extremely rare. Usually a diaphragm rupture is trauma induced. We describe a case of an 18-year old patient admitted 2 hours after onset, presenting severe epigastric and left sided chest pain without any trauma history. Upright chest x-ray revealed displaced stomach and colon into the left pleural cavity with a collapsed left lung. Surgery for a left-sided diaphragm rupture with stomach, spleen and colon splenic flexure herniation was undertaken. We present a brief review regarding the aetiology, diagnostic and treatment policy of spontaneous diaphragmatic rupture.
authors: First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Medical University "N. Testemitsanu", National Center of Emergency Medicine, Kishinev, Moldova.
authors: Gh
authors: G
authors: Ghidirim
authors: I
authors: I
authors: Mishin
authors: E
authors: E
authors: Condratsky
authors: Gh
authors: G
authors: Zastavnitsky
mesh_terms: D000293:Adolescent; D003108:Colonic Diseases / Q000209:etiology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000209:etiology; D011859:Radiography; D012422:Rupture, Spontaneous; D013158:Splenic Diseases / Q000209:etiology; D013277:Stomach Volvulus / Q000209:etiology; D016896:Treatment Outcome