TRAUMATIC RIGHT-SIDED DIAPHRAGMATIC HERNIA-A CASE REPORT AND REVIEW OF JAPANESE CASES-

(Received for publication on Jannuary 30,1974) Increasingly chaotic traffic conditions have led to all too familiar problem of multiple serious Injuries. In traffic accidents, injuries of the head and lower extremities are the most common. However, because of advances in emergency care, more patients are recovering from critical injuries, so other less obvious problems, which may not be noted immediately after the accident, such as traumatic diaphragmatic hernia, are being diagnosed. The authors have had occasion to treat a case of rupture of the right side of the diaphragm seen one year after a traffic accident. Traumatic diaphragmatic hernias on the right are rare and only 18 cases including ours have so far been reported in Japan. We therefore consider it justifiable to report this case and to review all the Japanese cases. CASE REPORT A 40-year-old man was admitted to our institute hospital for a detailed examination of an abnormal shadow noted on a chest roentgenogram. On February 18, 1972, his right chest, abdomen and extremities were struck in a motor ac