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Clinical Image
Delayed Presentation of Traumatic Diaphragmatic Rupture With Hemothorax
Ayla Buyukkayaa,
Corresponding author
rabuyukkaya@gmail.com

Corresponding author.
, Ramazan Buyukkayab
a University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, USA
b Cappadocia Private Hospital, Department of Radiology, Turkey
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Traumatic diaphragmatic ruptures are rare clinical conditions that are often challenging to detect&#44; with a likelihood of being missed in approximately 90&#37; of cases presenting to emergency clinics after trauma&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A 67-year-old male patient presented with respiratory distress&#44; and investigations revealed massive hemothorax in the left pleural cavity&#46; It was later discovered through detailed questioning that the patient had been in a non-traffic-related accident six months prior&#44; which he had not reported initially&#46; CT and ultrasound examinations showed irregular contours on the diaphragm surface and signs of diaphragmatic hematoma&#46; Additionally&#44; splenosis in the tail of the pancreas&#44; a pancreatic mass below it&#44; and metastasis in the adjacent spleen were observed&#46; Due to continuous decreases in hematocrit values&#44; the patient underwent surgery&#44; confirming spleen and diaphragmatic injuries &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">This case underscores the diagnostic challenges of traumatic diaphragmatic ruptures and the complications that can manifest over time&#46; Delayed massive hemothorax can be a crucial indicator of traumatic injuries&#44; emphasizing the importance of thorough post-trauma assessment and active utilization of imaging modalities&#46; The case also highlights the significance of considering diaphragmatic injuries in the differential diagnosis&#44; especially when patients present with complications such as delayed hemothorax&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Con&#64258;ict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors state that they have no con&#64258;ict of interests&#46;</p></span></span>"
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                            0 => "F&#46; Rashid"
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Original language: English
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