{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:59:55Z","timestamp":1775721595191,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nontraumatic diaphragmatic rupture is a rare condition with clinical presentations ranging from asymptomatic to severe respiratory or gastrointestinal symptoms. Owing to its nonspecific nature, it can be difficult to differentiate from other diaphragmatic disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We present a case of a 35-year-old German woman with a right-sided nontraumatic diaphragmatic rupture, presenting with recurrent hypertensive crises and acute dyspnea. Although initially misdiagnosed, further clinical and radiological evaluations suggestive of diaphragmatic elevation led to the decision to proceed with robot-assisted thoracoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the diagnostic challenges of non-traumatic diaphragmatic rupture, especially in complex clinical scenarios. It highlights the importance of thorough clinical assessment, appropriate imaging, and timely surgical intervention. Robot-assisted thoracoscopic surgery proved to be a safe and effective therapeutic option and should be considered in select cases where conventional diagnostics fail to provide definitive answers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13256-026-05944-w","type":"journal-article","created":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T06:55:39Z","timestamp":1773557739000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transthoracic robot-assisted minimally invasive diaphragmatic rupture repair: a case report"],"prefix":"10.1186","volume":"20","author":[{"given":"Raffaella","family":"Griffo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessio","family":"Campisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrike","family":"Deissner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Niedermaier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Reimer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"Winter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin E.","family":"Eichhorn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"issue":"50","key":"5944_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000040939","volume":"103","author":"X Xi","year":"2024","unstructured":"Xi X, Yan G, Guo B, Jin G, Guo C, Feng B. Diaphragmatic pheochromocytoma: two case reports and a review of the literature. Medicine (Baltimore). 2024;103(50): e40939.","journal-title":"Medicine (Baltimore)"},{"issue":"7","key":"5944_CR2","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1111\/1759-7714.13865","volume":"12","author":"K Minegishi","year":"2021","unstructured":"Minegishi K, Tsubochi H, Ohno K, Komori K, Ozeki M, Negishi H, et\u00a0al. Diaphragmatic paraganglioma protruding into the right thoracic cavity. Thorac Cancer. 2021;12(7):1115\u20137.","journal-title":"Thorac Cancer"},{"key":"5944_CR3","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.155205.2","volume":"13","author":"EE Ortegon","year":"2024","unstructured":"Ortegon EE, Millet-Herrera JL, Casillas J. Case report: unveiling an anomalous diaphragmatic paraganglioma mimicking a hepatic tumor. F1000Res. 2024;13: 1023.","journal-title":"F1000Res"},{"issue":"5","key":"5944_CR4","first-page":"421","volume":"23","author":"C Corbellini","year":"2017","unstructured":"Corbellini C, Costa S, Canini T, Villa R, Contessini Avesani E. Diaphragmatic rupture: a single-institution experience and literature review. Turk J Trauma Emerg Surg. 2017;23(5):421\u20136.","journal-title":"Turk J Trauma Emerg Surg"},{"issue":"7","key":"5944_CR5","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-23-716","volume":"15","author":"S Lampridis","year":"2023","unstructured":"Lampridis S. Raising the bar, lowering the diaphragm: a new era in diaphragmatic plication. J Thorac Dis. 2023;15(7): 3529.","journal-title":"J Thorac Dis"},{"issue":"4","key":"5944_CR6","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-442","volume":"15","author":"HN Marmor","year":"2023","unstructured":"Marmor HN, Xiao D, Godfrey CM, Nesbitt JC, Gillaspie EA, Lambright ES, et\u00a0al. Short-term outcomes of robotic-assisted transthoracic diaphragmatic plication. J Thorac Dis. 2023;15(4): 1605.","journal-title":"J Thorac Dis"},{"issue":"1","key":"5944_CR7","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1111\/ases.12833","volume":"14","author":"B Bin Asaf","year":"2021","unstructured":"Bin Asaf B, Kodaganur Gopinath S, Kumar A, Puri HV, Pulle MV, Bishnoi S. Robotic diaphragmatic plication for eventration: a retrospective analysis of efficacy, safety, and feasibility. Asian J Endosc Surg. 2021;14(1):70\u20136.","journal-title":"Asian J Endosc Surg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-026-05944-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-026-05944-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-026-05944-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:23:31Z","timestamp":1775719411000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13256-026-05944-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,15]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["5944"],"URL":"https:\/\/doi.org\/10.1186\/s13256-026-05944-w","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,15]]},"assertion":[{"value":"7 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Heidelberg University Hospital\u2019s Institutional Ethics Committee approved the collection and analysis of data from the patient\u2019s medical record (no. S-089\/2018, 1 March 2018).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"176"}}