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Case report
Traumatic diaphragmatic rupture: delayed presentation following a SCUBA dive
  1. Pei Yinn Toh,
  2. Simon Parys and
  3. Yuki Watanabe
  1. Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Pei Yinn Toh; pei.toh{at}


Traumatic diaphragmatic rupture (TDR) is a rare yet life-threatening occurrence that remains a diagnostic challenge for clinicians. Delayed presentation with associated strangulation of the contents, although uncommon, requires emergent management. A 42-year-old woman presented with constant, severe left-sided shoulder and chest pain, as well as associated upper abdominal pain following a self-contained underwater breathing apparatus (SCUBA) dive. A chest radiograph (CXR) and CT showed a left-sided diaphragmatic hernia containing stomach. She subsequently underwent a laparoscopic repair of the diaphragmatic defect and recovered well postoperatively.

  • general surgery
  • accidents
  • injuries
  • orthopaedic and trauma surgery

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  • Contributors PYT: primary author of case report, literature review. SP: partial author, preparation of images, YW: partial author, operative input.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.