Splenic laceration caused by chronic posttraumatic diaphragmatic hernia
Gamal Mostafa, MD
,, B.Todd Heniford, MD
, Ronald F. Sing, DO
, Andrew D. Perron, MD
Department of Surgery, Carolinas Medical Center, Charlotte, NC
Department of Emergency Medicine, University of Virginia, Charlottesville, VA
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—Injury to the diaphragm is a challenging diagnostic problem with a myriad of potential clinical presentations. In the acute phase, these injuries are commonly missed. The resulting diaphragmatic hernias are notorious for delayed presentation and complicated clinical picture. This report describes a patient with a missed diaphragmatic injury caused by an isolated stab wound to the left lower chest. The patient represented 6 months after his original injury in hemorrhagic shock because of a splenic capsular laceration, caused by an incarcerated diaphragmatic hernia.
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© 2001 W.B. Saunders Company. Published by Elsevier Inc. All rights reserved.
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