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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.50 n.3 Cape Town Aug. 2012




Misdiagnosis of diaphragmatic rupture in a trauma setting



A L C JonesI; I ThirskII

IBMedSci, BM BS, MRCS; Ngwelezana Hospital, KwaZulu-Natal
IIMB BS, FCS (SA); Ngwelezana Hospital, KwaZulu-Natal




Distinguishing diaphragmatic eventration from rupture in the trauma setting can be a considerable challenge. We present a case involving a man suffering from chest pain and with a raised left hemidiaphragm on the chest radiograph after a motor vehicle injury. A review of the literature discusses the use of imaging modalities and subsequent surgical diagnostic procedures in the face of uncertainty.


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