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BMJ Case Rep. 2017 Aug 7;2017. pii: bcr-2017-221220. doi: 10.1136/bcr-2017-221220.

Missed diaphragmatic injury after blunt trauma presenting with colonic strangulation: a rare scenario.

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Department of Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Trauma Surgery, All India Institute of Medical Sciences New Delhi, New Delhi, India.
Trauma Surgery, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences New Delhi, New Delhi, India.


Diaphragmatic rupture occurs in 4%-5% cases of thoracoabdominal injuries. It may present acutely, in a delayed fashion or as a complicated hernia. We are describing the case of a young male presenting in respiratory distress with history of chest trauma 1.5 years back. On investigation, he was found to have left side diaphragmatic hernia containing gangrenous colon with lung collapse. The patient underwent successful operative intervention and discharged after 25 days of hospital stay. Record review suggested that the above mentioned diaphragm injury was missed in his evaluation 1.5 years back. Diaphragmatic injury must always be suspected in thoracoabdominal injuries, as missed injury may cause devastating complications like the one narrated above in due course.


surgery; trauma

[Indexed for MEDLINE]

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