• Michel B. Aboutanos
  • Therèse M. Duane
  • Ajai K. Malhotra
  • Rao R. Ivatury


A 29-year-old man presents to the emergency department with a 2-week history of worsening shortness of breath. The patient is alert and hemodynamically stable. Physical examination documents decreased breath sounds at the left base. Chest x-ray demonstrates a dense opacity in the base of the left lung field, along with a large air-fluid level. A computed tomography scan of the chest and abdomen confirms a diaphragmatic hernia. The patient’s only other hospitalization was for a left thoracoabdominal stab wound. He recalls having a computed tomography scan done at that time and being discharged the next day. Which of the following would be the most appropriate intervention?
  1. (A)


  2. (B)


  3. (C)


  4. (D)


  5. (E)

    Expectant management



Hiatal Hernia Blunt Trauma Stab Wound Diaphragmatic Injury Diaphragmatic Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Michel B. Aboutanos
    • 1
  • Therèse M. Duane
    • 1
  • Ajai K. Malhotra
    • 1
  • Rao R. Ivatury
    • 2
  1. 1.Division of Trauma, Critical Care, and Emergency Surgery, Virginia Commonwealth University Medical CenterMedical College of Virginia Hospitals and PhysiciansRichmondUSA
  2. 2.Department of Surgery, Virginia Commonwealth UniversityVirginia Commonwealth University Medical CenterRichmondUSA

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