{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:01Z","timestamp":1756314601713,"version":"3.44.0"},"reference-count":57,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,3,29]]},"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>A 26-year-old man presented to emergency department with respiratory distress. The initial diagnosis after chest X-ray was massive haemothorax, after insertion of a chest drain and further investigations, it turned up to be a rare case of a delay presentation of traumatic diaphragmatic rupture (DR) (after 1\u2009year of the initial trauma). After excessive resuscitation of the patient in the emergency department, the patient underwent an emergency laparotomy which revealed ischaemic transverse colon herniated into the chest through a 7\u2009cm diaphragmatic defect. Resection of the ischaemic bowel had been done, and the patient admitted to Intensive Therapy Unit (ITU) postoperatively. The patient had an uneventful recovery and discharged home on postoperative day 9. As DR after thoracoabdominal trauma is a rare condition that can be missed at initial presentation, we would like to highlight the main challenges in diagnosing and managing similar cases after reviewing related cases in the literature.<\/jats:p>","DOI":"10.1136\/bcr-2019-233336","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T06:15:23Z","timestamp":1588745723000},"page":"e233336","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Delayed presentation of traumatic diaphragmatic rupture with tension colothorax and strangulation of the transverse colon"],"prefix":"10.1136","volume":"13","author":[{"given":"Wassim","family":"Mousa","sequence":"first","affiliation":[{"name":"General Surgery, King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christo","family":"Lapa","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Departement, King's College Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathleen","family":"Grossart","sequence":"additional","affiliation":[{"name":"Emergency Department, King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asif","family":"Haq","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Departement, King's College Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"2025082709521384000_13.5.e233336.1","first-page":"421-426","article-title":"Diaphragmatic rupture: a single-institution experience and literature review","volume":"23","author":"Corbellini","year":"2017","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2025082709521384000_13.5.e233336.2","first-page":"243","article-title":"Giant right post-traumatic diaphragmatic hernia: laparoscopic repair without a mesh","volume":"57","author":"Rossetti","year":"2005","journal-title":"Chir Ital"},{"key":"2025082709521384000_13.5.e233336.3","first-page":"181","article-title":"Delayed presentation of traumatic rupture of the diaphragm","volume":"96","author":"Shreck","year":"2003","journal-title":"J Okla State Med Assoc"},{"key":"2025082709521384000_13.5.e233336.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-006-0182-3"},{"key":"2025082709521384000_13.5.e233336.5","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.jamcollsurg.2003.08.027","article-title":"Traumatic diaphragmatic hernia.","volume":"198","author":"Kaw","year":"2004","journal-title":"J Am Coll Surg"},{"key":"2025082709521384000_13.5.e233336.6","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199312000-00013"},{"key":"2025082709521384000_13.5.e233336.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(74)80041-3"},{"key":"2025082709521384000_13.5.e233336.8","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s10029-004-0243-4","article-title":"Late bilateral diaphragmatic rupture: challenging diagnostic and surgical repair","volume":"9","author":"Sirbu","year":"2005","journal-title":"Hernia"},{"key":"2025082709521384000_13.5.e233336.9","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200007000-00025"},{"key":"2025082709521384000_13.5.e233336.10","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1002\/bjs.1800830128","article-title":"Diaphragmatic herniation after penetrating trauma","volume":"83","author":"Degiannis","year":"1996","journal-title":"Br J Surg"},{"key":"2025082709521384000_13.5.e233336.11","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1007\/s12262-012-0418-7","article-title":"Post-Traumatic diaphragmatic hernia","volume":"74","author":"Hajong","year":"2012","journal-title":"Indian J Surg"},{"key":"2025082709521384000_13.5.e233336.12","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-4-32"},{"key":"2025082709521384000_13.5.e233336.13","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/00000658-197808000-00016","article-title":"Delayed presentation of traumatic diaphragmatic hernia","volume":"188","author":"Hegarty","year":"1978","journal-title":"Ann Surg"},{"key":"2025082709521384000_13.5.e233336.14","doi-asserted-by":"publisher","DOI":"10.1136\/thx.38.12.959"},{"key":"2025082709521384000_13.5.e233336.15","doi-asserted-by":"crossref","unstructured":"Radin DR , Ray MJ , Halls JM . 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