{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:46:40Z","timestamp":1772639200079,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>We are reporting a case of a delayed hepatothorax due to a right-sided diaphragmatic rupture 13 years after a blunt trauma due to a motor vehicle accident, who presented as isolated gastritis without any type of respiratory symptomatology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>Patient refers that his symptoms remained refractory to medical treatment and had gotten worse over time. Chest wall inspection showed asymmetric thoracic expansion and a decreased movement of right hemithorax when compared to the left. Cardiorespiratory auscultation was significant for growling sounds on the right second intercostal space and reduction of breath sounds on the right lower lobe region of the lung when compared to the left side.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Thoracotomy was indicated since patient presented late. Meanwhile, laparotomy would have been appropriate if the patient had presented immediately after trauma. After the procedure, the patient presented in great condition and all the gastrointestinal symptoms associated with the traumatic diaphragmatic hernia had resolved. We propose that the absence of respiratory symptoms in our patient could be due to the progressive adaptation of small, cumulative changes in decreasing breathing capacity through time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A case like ours has not been reported in the literature and clinicians should take this case report into consideration when suspecting a possible diagnosis of a delayed traumatic diaphragmatic hernia that may be complicated by a hepatothorax. We recommend maintaining a high index of clinical suspicion for hepatothorax due to delayed traumatic diaphragmatic hernia for all patients with a history of trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107017","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T03:23:06Z","timestamp":1649042586000},"page":"107017","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Delayed hepatothorax"],"prefix":"10.1097","volume":"94","author":[{"given":"Sergio M.","family":"Maldonado-Chaar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel A.","family":"Mir\u00f3-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman","family":"Ram\u00edrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis O.","family":"Ramirez-Ferrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-27-20260304","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0009-739X(05)70818-6","article-title":"Traumatic diaphragmatic rupture","volume":"77","author":"Garc\u00eda-Navarro","year":"2005","journal-title":"Cir. Esp"},{"key":"R4-27-20260304","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1186\/s40792-020-00941-7","article-title":"Total thoracic herniation of the liver: a case of delayed right-sided diaphragmatic hernia after blunt trauma","volume":"6","author":"Kesavaramanujam","year":"2020","journal-title":"Surg. Case Rep"},{"key":"R5-27-20260304","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ijscr.2020.04.077","article-title":"Case report of traumatic intrapericardial diaphragmatic hernia: laparoscopic composite mesh repair and literature review","volume":"70","author":"Aborajooh","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"key":"R6-27-20260304","doi-asserted-by":"crossref","first-page":"E314","DOI":"10.1111\/ans.13172","article-title":"Hepatothorax: a rare presentation to the trauma surgeon","volume":"87","author":"Lim","year":"2017","journal-title":"ANZ J. Surg"},{"key":"R7-27-20260304","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1007\/s11748-007-0158-y","article-title":"Delayed hepatothorax due to right-sided traumatic diaphragmatic rupture","volume":"55","author":"Igai","year":"2007","journal-title":"Gen. Thorac. Cardiovasc. Surg"},{"key":"R8-27-20260304","doi-asserted-by":"crossref","first-page":"[1]","DOI":"10.1093\/jscr\/2012.1.1","article-title":"A delayed traumatic right diaphragmatic hernia with hepatothorax","volume":"2012","author":"Ebrahimi","year":"2012","journal-title":"J. Surg. Case Rep"},{"key":"R9-27-20260304","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.ijscr.2013.03.027","article-title":"Delayed post-traumatic diaphragmatic rupture complicated by total hepato-thorax: a case report","volume":"4","author":"Kastanakis","year":"2013","journal-title":"Int. J. Surg. Case Rep"},{"key":"R10-27-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"Guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"2020","author":"Agha RA","year":"2020","journal-title":"Int. J. Surg"},{"key":"R11-27-20260304","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.ijscr.2019.08.030","article-title":"Delayed diaphragmatic herniaafter open trauma with unusual content: case report","volume":"64","author":"Da Costa","year":"2019","journal-title":"Int. J. Surg. Case Rep"},{"key":"R13-27-20260304","first-page":"287","article-title":"Laparoscopic repair of diaphragmatic defect by total intracorporeal suturing: clinical and technical considerations","volume":"5","author":"Rehman","year":"2001","journal-title":"J. Soc. Laparoendosc. Surg"},{"key":"R14-27-20260304","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.ijscr.2014.07.007","article-title":"Laparoscopic repair of posttraumatic diaphragmatic rupture. Report of three cases","volume":"5","author":"Xenaki","year":"2014","journal-title":"Int. J. Surg. Case Rep"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222002632?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222002632?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:04:07Z","timestamp":1772618647000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107017"}},"subtitle":["An unusual presentation case report"],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107017","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}