Massive Spontaneous Diaphragmatic Rupture Induced by a Squatting Position.
10.5090/kjtcs.2013.46.3.230
- Author:
Su Wan KIM
1
;
Seogjae LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Korea. sj1106@jejunu.ac.kr
- Publication Type:Case Report
- Keywords:
Diaphragm;
Chest pain;
Computed tomography
- MeSH:
Abdomen;
Chest Pain;
Diaphragm;
Diet;
Humans;
Male;
Rupture;
Stomach;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2013;46(3):230-233
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
