title: Traumatic diaphragmatic hernia: delayed presentation with tension viscerothorax--lessons to learn.
abstract: Diaphragmatic rupture is a serious complication of thoracoabdominal trauma. The condition may be missed initially. We describe the clinical course of a patient who sustained blunt abdominal trauma in a car accident. His diaphragmatic injury passed unnoticed, to present two years later with left tension viscerothorax, a rarely reported and hardly recognised entity. Nasogastric tube insertion aborted the emergency situation and the hernia was repaired successfully in a semielective setting.
authors.affiliation: Armed Forces Hospitals Southern Region, Saudi Arabia.
authors.forename: M S
authors.initials: MS
authors.lastname: Al Skaini
authors.forename: A
authors.initials: A
authors.lastname: Sardar
authors.forename: H
authors.initials: H
authors.lastname: Haroon
authors.forename: S M
authors.initials: SM
authors.lastname: Al Ghamdi
authors.forename: Abdulla
authors.initials: A
authors.lastname: Homran
authors.forename: M Ezzedien
authors.initials: ME
authors.lastname: Rabie
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D057210:Delayed Diagnosis; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000209:etiology* / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications*; D014781:Viscera / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*