Abstract

PARAMO-ARROYO, Rafael; NAVARRO-REYNOSO, Francisco; PEREZ-ROSALES, Abel  and  IBARRA-PEREZ, Carlos. Delayed diagnosis of rupture of the diaphragm 29 years after trauma. Rev. Inst. Nal. Enf. Resp. Mex. [online]. 2005, vol.18, n.3, pp.212-216. ISSN 0187-7585.

A 64 year old woman was referred by her rural doctor due toan abnormal chest X ray. Twenty nine years before she had fallen from a horse suffering a severe thoracic contusion. Contrast studies of the upper and lower gastrointestinal tract showed abdominal viscerae inside the left thoracic cavity. The patient refused surgical correction because she considered herself to be asymptomatic and her only complaint was "feeling bubbles in the lung".

Keywords : Late diagnosis; left post-traumatic diaphragmatic hernia; diaphragmatic rupture; thoracic trauma.

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