Vaidya S, Biswas M, Rai K
Department of CardioVascular and Thoracic Surgery, Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Department of Thoracic Surgery, National Institute of Diseases of Chest Hospital, Dhaka, Bangladesh.
Kathmandu Univ Med J (KUMJ). 2017;15(59):265-267.
Traumatic rupture of the diaphragm is an uncommon condition. The prevalence of diaphragmatic rupture among blunt trauma victim ranges from 0.8 to 8%. The etiologic factors are blunt trauma (for example, in motor vehicle accidents) and penetrating trauma. The diagnosis is often missed because of non-specific clinical signs, and the absence of additional intra-abdominal and thoracic injuries. We present a case which was misdiagnosed as a case of left sided hemopneumothorax and treated with tube thoracotomy in other center.
创伤性膈肌破裂是一种罕见的病症。在钝性创伤受害者中，膈肌破裂的发生率为0.8%至8%。病因包括钝性创伤（如机动车事故）和穿透性创伤。由于临床症状不具特异性且无其他腹内和胸部损伤，诊断常常被漏诊。我们报告一例在其他中心被误诊为左侧血气胸并接受胸腔闭式引流术治疗的病例。
