Revista de Ciencias de la Salud

Figure 5. Standard Chest Rx (Control).

Discussion

Traumatic diaphragmatic hernias, despite being rare, should always be taken into
consideration in patients with closed trauma, when it is below the seventh intercostal space;
they are more frequent on the left side because on the contralateral side the liver serves as a
barrier.

The patient entered the Portoviejo Medical Clinic being the stable, without alterations in the
respiratory pattern; the hypothesis of acute vs chronic traumatic diaphragmatic hernia remains
in the air, but the antecedents of previous traumas, the hemodynamic stability at admission
and the radiographic signs, simulate chronic pathology that was complicated on the second

Qhalikay. Revista de Ciencias de la Salud 3 (2017) 104-113

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