Ruptured hemidiaphragm: Unusual late presentation

Cameron, Erik W.; Mirvis, Stuart E.

doi:10.1016/0736-4679(95)02040-3

Cited by 25 publications

(8 citation statements)

References 14 publications

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“…Indeed, mortality rates >56% after 24 h and 75–89% after 48 h have been reported [ 8 – 10 ]. In an effort to identify a single salient feature that might clinch the diagnosis, an upright chest x-ray was consistently listed as the most important initial test [ 1 , 2 , 4 , 5 ]. It is clear, however, that simply obtaining the appropriate diagnostic tool is not enough.…”

Section: Discussionmentioning

confidence: 99%

Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion

Reardon

Martin

2015

J. surg. case rep.

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There are few published case reports of Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion. We present an unusual case of spontaneous perforation of the mid-esophagus and discuss the surgical management and outcome. Our case underscores the importance of a meticulous diagnostic and therapeutic approach to the management of an often elusive and difficult disease process.

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Section: Discussionmentioning

confidence: 99%

Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion

Reardon

Martin

2015

J. surg. case rep.

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“…Diaphragmatic ruptures associated with visceral herniation, especially those of a hollow viscus, are easily radiographically demonstrated with the presence of an air interface with the pleural cavity. 1 We present the case of a 28-year-old man who was the driver of a vehicle in collision with another vehicle. Without herniation, there is minimal separation of diaphragmatic muscular fibers which may not be apparent radiographically.…”

Section: Discussionmentioning

confidence: 99%

“…1 A lateral tear of the muscular fibers of the diaphragm leads to a reduction in the structural integrity of the muscle. 1 A lateral tear of the muscular fibers of the diaphragm leads to a reduction in the structural integrity of the muscle.…”

Section: Historymentioning

confidence: 99%

Sudden Death Following Delayed Traumatic Diaphragmatic Herniation

Yates¹,

Fulcher²,

Ward³

2011

American Journal of Forensic Medicine &Amp; Pathology

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Blunt force trauma to the chest can often result in diaphragmatic tears. These tears can go months without being discovered, until a secondary injury or circumstance causes an organ to herniate through the diaphragm. Special care should be taken at autopsy to determine the mechanism of injury of any tears in the diaphragm as this may influence the cause and manner of death. We present a case of a 28-year-old man who suffered multiple injuries in a motor vehicle collision. Six months later he presented with a left diaphragmatic tear and gastric fundal herniation, and died eventually.

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“…This type of late presentation of missed diaphragmatic defect is well recognized and has been reported in the literature. 8 Today gastric volvulus can be diagnosed confidently based on endoscopic finding supplemented by result of barium swallow study. The latter may show obstruction at the gastroesophageal junction giving a Bird's Beak appearance.…”

Section: Discussionmentioning

confidence: 99%