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KMID : 0383820090660030241
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Tuberculosis and Respiratory Diseases
2009 Volume.66 No. 3 p.241 ~ p.245
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Delayed Diagnosis of a Traumatic Diaphragmatic Injury
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Park Seon-Wook
Kim Cheol-Hong
Hyun In-Gyu
Shin Ho-Seung
Kim Ji-Youn
Lee Seung-Hwa
Kim Young-Wook
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Abstract
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Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.
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KEYWORD
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Diaphragm, Injury, Trauma
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