Abstract
Blunt traumatic rupture of the diaphragm is a well known but uncommon event of thoracoabdominal traumatic injuries. It occurs in 1-5% of polytrauma patients and requires a high degree of suspicion for a rapid diagnosis. The frequency of delayed diagnosis is difficult to be estimated and up to 30% of blunt diaphragmatic ruptures present late. A case of herniated splenic colic flexure through a defect in the left hemidiaphragm and the subsequent development of colon cancer in this area are presented. We emphasize the importance of making a prompt diagnosis in order to avoid further morbidity and mortality in this rare clinical entity.
MeSH terms
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Accidents, Traffic
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Adenocarcinoma / diagnosis
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Adenocarcinoma / etiology*
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Adenocarcinoma / surgery
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Aged
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Colectomy / methods
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Colon, Transverse*
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Colonic Neoplasms / diagnosis
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Colonic Neoplasms / etiology*
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Colonic Neoplasms / surgery
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Diagnosis, Differential
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Diaphragm / injuries*
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Disease-Free Survival
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Follow-Up Studies
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Hernia, Diaphragmatic, Traumatic / complications*
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Hernia, Diaphragmatic, Traumatic / diagnostic imaging
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Hernia, Diaphragmatic, Traumatic / surgery
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Humans
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Male
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Multiple Trauma / complications*
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Neoplasm Staging
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Polytetrafluoroethylene
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Prosthesis Implantation / instrumentation
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Radiography, Abdominal
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Rupture
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Surgical Mesh
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Tomography, X-Ray Computed