A careful search of the literature on traumatic rupture of the diaphragm, of which there are well over 1,000 cases recorded, fails to show one similar to the following case. The unusual angles presented during the course of the patient's illness provided a most difficult problem in diagnosis.
REPORT OF CASE
—A man, aged 56, an oil producer, admitted to St. John's Hospital Jan. 17, 1937, complained of cough, shortness of breath, weakness and fever. Three days before admission a temperature of 103 F. developed with increasing cough and dyspnea. Dulness was found over the base of the right lung and the breath sounds over the same area were quite distant. The fever abated but the area of dulness increased during the next two days. He was referred to my service at the hospital on the following day.The patient had been in an automobile accident Dec. 9