Jw. Lorimer et al., BLUNT EXTRAPERITONEAL RUPTURE OF THE RIGHT HEMIDIAPHRAGM - CASE-REPORT, The journal of trauma, injury, infection, and critical care, 36(3), 1994, pp. 414-416
A case of blunt extraperitoneal rupture of the right hemidiaphragm and
an accompanying abnormal hepatobiliary scan that revealed the rupture
are presented.Associated major injuries, the fact that right-sided ru
ptures have less immediate herniation, and plugging of the defect by t
he liver are difficulties thatcan be encountered in establishing the d
iagnosis. Most diagnostic tests are not helpful and about half of thes
e ruptures are found at laparotomy or thoracotomy. All should be close
d surgically.