Journal of Emergencies, Trauma, and Shock
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INJURY AND INTERVENTIONS
Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 70-72

Blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver


1 Department of Surgery, University of KwaZulu Natal, Mayville, South Africa
2 Department of Surgery, Trauma Intensive Care Unit, Inkosi Albert Luthuli Central Hospital, Private Bag X03, Mayville, 4058, South Africa

Correspondence Address:
Timothy C Hardcastle
Department of Surgery, Trauma Intensive Care Unit, Inkosi Albert Luthuli Central Hospital, Private Bag X03, Mayville, 4058
South Africa
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.58659

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Acute right hemidiaphragm rupture with abdominal visceral herniation is reportedly less common than on the left. We present a complex case of blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver in a multiply injured patient. The diagnostic approach, with specific reference to the imaging studies, and surgical management is discussed, followed by a brief literature review highlighting the complexities of the case.


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