{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:54:29Z","timestamp":1755795269156,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"published-print":{"date-parts":[[2019,6]]},"abstract":"\n Case Presentation<\/jats:title>\n A 38-year-old man was brought in by ambulance as a trauma activation after sustaining a self-inflicted stab wound in the left upper quadrant with a kitchen knife. His primary survey was unremarkable and his vital signs were normal. Secondary survey revealed a 2 cm transverse stab wound inferior and medial to the left nipple. Extended focused assessment with sonography for trauma (FAST) did not show intra-abdominal or pericardial fluid and chest X-ray did not show a definite pneumothorax or hemothorax.<\/jats:p>\n <\/jats:sec>\n \n What would you do?<\/jats:title>\n \n \n Wound exploration at bedside.<\/jats:p>\n <\/jats:list-item>\n \n Admit for observation and serial examinations.<\/jats:p>\n <\/jats:list-item>\n \n Exploratory laparotomy and open repair of traumatic diaphragmatic injury (TDI).<\/jats:p>\n <\/jats:list-item>\n \n Thoracotomy and open repair of TDI.<\/jats:p>\n <\/jats:list-item>\n \n Diagnostic laparoscopy and laparoscopic repair of TDI.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n 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