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HOME > J Trauma Inj > Volume 28(2); 2015 > Article
Delayed Diaphragmatic Injury with Massive Hemothorax Due to Lower Rib Fracture
Woo Shik Kim, Joong Suck Kim
Journal of Trauma and Injury 2015;28(2):79-82
DOI: https://doi.org/10.20408/jti.2015.28.2.79
Published online: June 30, 2015
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1Department of Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea. cureshow@hanmail.net
2Department of Trauma Surgery, National Medical Center, Seoul, Korea.
Received: 14 February 2015   • Revised: 19 March 2015   • Accepted: 15 May 2015

Simple rib fracture is one of most common injury after blunt thoracic trauma found in approximately 7% to 40% of cases. Delayed traumatic diaphragmatic injury with massive hemothorax after rib fracture is rare but a potentially life-threatening condition. We present a rare case of a 79-year-old male with delayed diaphragmatic injury with massive hemothorax due to fracture of the lower ribs. Under thoracoscopy, hemothorax was evacuated, diaphragmatic rupture was identified and repaired, and the lower ribs were fixed with metal plate (s). Although simple lower rib fractures may be the only clinical finding, close observation and monitoring are required because of the possibility of diaphragmatic and/or intraabdominal organ injury.

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