ORIGINAL ARTICLE: PDF OnlyLorimer John W. MD FRCSC; Reid, Ken R. MD FRCSC; Raymond, François MD FRCPCThe Journal of Trauma: Injury, Infection, and Critical Care: March 1994 - p 414-416 Buy Abstract A case of blunt extraperitoneal rupture of the right hemidiaphragm and an accompanying abnormal hepatobiliary scan that revealed the reputure are presented. Associated major injuries, the fact that right-sided ruptures have less immediate herniation plugging of the defect by the liver are difficulties that can be encountered in establishing the diagnosis. Most diagnostic tests are not helpful and about half of these ruptures are found at laparotomy or thoracotomy. All should be closed surgically. © Williams & Wilkins 1994. All Rights Reserved.