{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:26:21Z","timestamp":1773415581317,"version":"3.50.1"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"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":[[2023,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Right-sided blunt diaphragmatic injury (BDI) is rare and often missed initially. Recently, some studies reported increased use of minimally invasive repair. A case of unexplained hemothorax that led to early suspicion of right-sided BDI, which was confirmed by exploratory thoracoscopy with an artificial pneumothorax, and primary repair was completed, is presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 47-year-old woman had a moderate right hemothorax without rib fracture, vertebral fracture, or lung injury. A chest tube was inserted for the hemothorax, and approximately 470 mL of blood were evacuated initially. The right-sided BDI was not initially identified. Diagnostic thoracoscopy with an artificial pneumothorax confirmed diaphragmatic laceration. The liver was pushed back into the abdominal cavity with the use of the artificial pneumothorax. Primary closure of the diaphragmatic laceration was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>We must consider that a hemothorax without a lung injury or a chest wall injury may be a BDI. Thoracoscopy contributes to identifying and repairing a diaphragmatic injury. Additionally, an artificial pneumothorax provided a good operative field and spontaneously reduced the liver into the abdominal cavity, which facilitates the thoracoscopic repair of BDI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Unexplained hemothorax may be due to diaphragmatic injury, and exploratory thoracoscopy with an artificial pneumothorax may contribute to identifying and repairing a diaphragmatic injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.107913","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T02:02:50Z","timestamp":1675389770000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Successful artificial pneumothorax thoracoscopic repair of a right-sided diaphragmatic injury with hemothorax. A case report"],"prefix":"10.1097","volume":"104","author":[{"given":"Masaki","family":"Matsuda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Sawano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-2-20260313","first-page":"177","article-title":"Update on managing diaphragmatic rupture in blunt trauma: a review of 208 consecutive cases","volume":"52","author":"Chughtai","year":"2009","journal-title":"Can. J. Surg"},{"key":"R2-2-20260313","doi-asserted-by":"crossref","first-page":"e633","DOI":"10.1016\/j.ajem.2007.10.032","article-title":"Late presentation of blunt right diaphragmatic rupture (hepatic hernia)","volume":"26","author":"Kozak","year":"2008","journal-title":"Am. J. Emerg. Med"},{"key":"R3-2-20260313","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R4-2-20260313","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.amsu.2020.03.002","article-title":"A delayed presentation of traumatic right hemidiaphragm injury repaired via a laparoscopic approach: a case report","volume":"53","author":"Ong","year":"2020","journal-title":"Ann. Med. Surg. (Lond"},{"key":"R5-2-20260313","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1186\/s12893-021-01141-2","article-title":"Surgical management of traumatic diaphragmatic hernia: a single institutional experience of more than two decades","volume":"21","author":"Deng","year":"2021","journal-title":"BMC Surg"},{"key":"R6-2-20260313","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":"R7-2-20260313","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.ijscr.2020.10.125","article-title":"Delayed massive hemothorax due to diaphragm injury with rib fracture: a case report","volume":"77","author":"Muronoi","year":"2020","journal-title":"Int. J. Surg. Case Rep"},{"key":"R10-2-20260313","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/j.amjsurg.2014.12.023","article-title":"Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank: a new examination of a rare diagnosis","volume":"209","author":"Fair","year":"2015","journal-title":"Am. J. Surg"},{"key":"R11-2-20260313","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1097\/TA.0000000000000140","article-title":"Evolution in the management of traumatic diaphragmatic injuries: a multicenter review","volume":"76","author":"Ties","year":"2014","journal-title":"J. Trauma Acute Care Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122300041X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122300041X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.107913","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:00:56Z","timestamp":1773403256000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.107913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.107913","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}