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Ann Thorac Surg 1978;26:199-203
© 1978 The Society of Thoracic Surgeons

Articles

Blunt Traumatic Rupture of the Diaphragm

James W. Brooks, M.D.

Department of Surgery, Division of Cardiac and Thoracic Surgery, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298

Blunt traumatic rupture of the diaphragm must be suspected in all patients with massive trauma and especially in those whose chest roentgenogram reveals an abnormal or obscured diaphragmatic shadow. Regular reevaluation is most important. A diagnostic pneumoperitoneum is the most accurate preoperative test available. Transthoracic approach is the operation of choice.




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