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European Journal of Cardio-Thoracic Surgery, Vol 4, 626-627, Copyright © 1990 by European Association for Cardio-thoracic Surgery
DM Hahn and DC Watson
Diaphragmatic rupture due to blunt trauma is well recognised though
uncommon. Most cases are diagnosed at the time of injury, but a proportion
remain undiagnosed, only to present some months or even years later. This
"delayed" group can present in a number of ways, including chronic
abdominal and chest problems or an acute crisis. Herniation of abdominal
viscera is the most common sequel, with strangulation and gangrene as the
most serious complication. This paper reports a case of delayed
presentation of diaphragmatic rupture and herniation presenting as tension
hydropneumothorax due to small bowel perforation. A short discussion
addresses the problems in diagnosis of this condition. We believe this to
be the first reported case of perforated small bowel leading to tension
hydropneumothorax.
ARTICLES
Tension hydropneumothorax as delayed presentation of traumatic rupture of the diaphragm
Regional Thoracic Surgery Unit, East Birmingham Hospital, Birmingham, UK.
This article has been cited by other articles:
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M. H. Seelig, P. J. Klingler, and K. Schonleben Tension Fecopneumothorax Due to Colonic Perforation in a Diaphragmatic Hernia Chest, January 1, 1999; 115(1): 288 - 291. [Abstract] [Full Text] [PDF] |
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