KMID : 0364020130460030230
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Korean Journal of Thoracic and Cardiovascular Surgery 2013 Volume.46 No. 3 p.230 ~ p.233
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Massive Spontaneous Diaphragmatic Rupture Induced by a Squatting Position
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Kim Su-Wan
Lee Seog-Jae
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Abstract
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While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.
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KEYWORD
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Diaphragm, Chest pain, Computed tomography
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