{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:01Z","timestamp":1756368601436,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 60-year-old man with chronic obstructive pulmonary disease and a heavy smoker and drinker presented to the emergency department with left-sided thoracoabdominal pain after falling down the stairs. Initial clinical findings were left-sided chest tenderness with no clinical evidence of subcutaneous emphysema. Twenty-four hours later the patient's respiratory distress increased\u2014repeat chest X-ray showed a left gastrothorax indicative of a ruptured left hemi diaphragm. Diagnostic laparoscopy in the supine position via an umbilical port confirmed the presence of the stomach, spleen and splenic flexure of the colon in the left chest. Laparoscopic reduction of the stomach and colon was performed, but a small upper midline incision was required to reduce the spleen without injury. The diaphragmatic tear was repaired by direct open suture. The patient required a brief period of postoperative ventilation via a tracheostomy. The patient remained well at a 3-month follow-up visit.<\/jats:p>","DOI":"10.1136\/bcr-2013-009415","type":"journal-article","created":{"date-parts":[[2013,6,28]],"date-time":"2013-06-28T14:57:40Z","timestamp":1372431460000},"page":"bcr2013009415","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopically assisted repair of an acute traumatic diaphragmatic hernia"],"prefix":"10.1136","volume":"2013","author":[{"given":"G","family":"Safdar","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Rotherham NHS Foundation Trust, Rotherham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Slater","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Rotherham NHS Foundation Trust, Rotherham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Garner","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Rotherham NHS Foundation Trust, Rotherham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,6,24]]},"reference":[{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S1010-7940(01)00753-9","article-title":"Diaphragmatic injuries","volume":"2013","author":"Rubikas","year":"2001","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.2","first-page":"139","article-title":"Traumatic diaphragmatic injury","volume":"2013","author":"Morgan","year":"2009","journal-title":"J R Army Med Corps"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.3","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/1749-7922-4-32","article-title":"A review on delayed presentation of diaphragmatic rupture","volume":"2013","author":"Rashid","year":"2009","journal-title":"World J Emerg Surg"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.4","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0003-4975(10)65131-4","article-title":"Traumatic diaphragmatic hernia","volume":"2013","author":"Hood","year":"1971","journal-title":"Ann Thorac Surg"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.5","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.surg.2009.06.040","article-title":"Traumatic diaphragmatic injury: experience from a level I trauma centre","volume":"2013","author":"Lewis","year":"2009","journal-title":"Surgery"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.6","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s10029-007-0283-7","article-title":"Blunt diaphragmatic rupture: four year's experience","volume":"2013","author":"Matseyvch","year":"2008","journal-title":"Hernia"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.7","first-page":"247","article-title":"Pulmonary function after transverse or midline incision in patients with obstructive pulmonary disease","volume":"2013","author":"Becquemin","year":"1985","journal-title":"Intensive Care Med"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.8","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1007\/s00464-008-0294-1","article-title":"Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study","volume":"2013","author":"Palanivelu","year":"2009","journal-title":"Surg Endosc"},{"key":"2025082800560970000_2013.jun24_1.bcr2013009415.9","unstructured":"Davis JW Eghbalieh B . Injury to the diaphragm. In: Feliciano D Mattox K Moore E . eds. Trauma. 6th edn. 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