title: A case of delayed diagnosis of a right-sided diaphragm rupture with a review of the literature.
abstract: Right-sided diaphragm rupture is one of the typical injuries found during a secondary or tertiary survey after a major blunt trauma. This is mainly due to the apparently normal aspect of primary X-rays of the thorax. A right-sided diaphragm rupture can cause severe atelectasis of the right lower lobe of the lung, due to a hepatothorax. We present a case of a delayed diagnosis of right-sided diaphragm rupture, which was discovered by accident because of a new trauma. We review the literature on right-sided diaphragm rupture and its treatment.
authors.affiliation: Amphia Hospital, Surgery, Breda, The Netherlands.
authors.forename: Matthijs P
authors.initials: MP
authors.lastname: Somford
authors.affiliation: Amphia Hospital, Surgery, Breda, The Netherlands.
authors.forename: Hans K S
authors.initials: HK
authors.lastname: Nuytinck
authors.affiliation: Amphia Hospital, Surgery, Breda, The Netherlands. dvos@amphia.nl.|Amphia Hospital, Surgery, Molengracht 21, 4800 RK, Breda, The Netherlands. dvos@amphia.nl.
authors.forename: Dagmar I
authors.initials: DI
authors.lastname: Vos
keywords: Blunt trauma; Hepatothorax; Motor vehicle accidents; Right-sided diaphragm rupture
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