Korean J Thorac Cardiovasc Surg.  2013 Jun;46(3):230-233. 10.5090/kjtcs.2013.46.3.230.

Massive Spontaneous Diaphragmatic Rupture Induced by a Squatting Position

• Kim SW
• Lee S

• KMID: 1427798
• DOI: http://doi.org/10.5090/kjtcs.2013.46.3.230

Abstract

While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.

Keyword

Diaphragm; Chest pain; Computed tomography

MeSH Terms

Abdomen
Chest Pain
Diaphragm
Diet
Humans
Male
Rupture
Stomach
Thorax