Casula G, Scattone S, Figus M, Angioy F
Minerva Chir. 1978 Oct 15;33(19):1353-9.
Rupture of the right hemidiaphragm is an unusual event and often misunderstood. Failure to diagnose this lesion in the acute stage, in addition to contributing to its high mortality, means that it frequently becomes apparent only months or even years after the event. Even at this late stage, diagnosis is not always easy, especially when the history is not correctly weighed and proper investigation is thus lacking. Pneumoperitoneum and liver scintiscanning are recommended in this respect. A recently observed case is presented as a more or less typical example of this rare disease.
右侧膈肌破裂是一种罕见的情况，且常常被误解。在急性期未能诊断出这种病变，除了导致其高死亡率外，还意味着它通常在事件发生数月甚至数年之后才变得明显。即使在这个晚期阶段，诊断也并非总是容易的，尤其是当病史未得到正确权衡且缺乏适当检查时。在这方面，推荐进行气腹造影和肝脏闪烁扫描。本文呈现了一个最近观察到的病例，作为这种罕见疾病或多或少的典型例子。
