Journal of Trauma and Injury

  • 제30권1호
  • /
  • Pages.16-20
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  • 2017
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
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Missed Traumatic Rupture of the Diaphragm

  • Ryu, Sang Woo (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Chekar, Jaykey (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Yi, In Ho (Department of Thoracic and Cardiovascular Surgery, Mokpo Hankook Hospital) ;
  • Seo, Bo Ra (Department of Neurosurgery, Mokpo Hankook Hospital) ;
  • Park, Seong Huek (Department of Surgery, Mokpo Hankook Hospital) ;
  • Go, Seong Ju (Department of Surgery, Mokpo Hankook Hospital)
  • 투고 : 2016.09.21
  • 심사 : 2017.01.31
  • 발행 : 2017.03.31
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초록

A 48-year-old man came to the emergency department with altered consciousness and hemoperitoneum following a pedestrian traffic accident. He underwent immediate emergency laparotomy, and on the second day, he required craniectomy because of increase of intracranial hemorrhage. A chest radiograph taken 7 days after admission, showed elevation of the right hemi-diaphragm, and follow-up chest CT showed a right-sided rupture of the diaphragm, which was surgically repaired. Rupture of the diaphragm can be easily overlooked and the diagnosis delayed, especially in unstable patients with multiple trauma or altered level of consciousness, as in the case reported here.

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참고문헌

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