title: Massive spontaneous diaphragmatic rupture induced by a squatting position.
abstract: While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Korea.
authors.forename: Su Wan
authors.initials: SW
authors.lastname: Kim
authors.forename: Seogjae
authors.initials: S
authors.lastname: Lee
keywords: Chest pain; Computed tomography; Diaphragm