Fig. 5

Ambiguity of the word “pericardio-diaphragmatic rupture.” The reported forms of pericardio-diaphragmatic rupture are as follows, a only the fused site is ruptured, b the fused site and the diaphragm are discontinuously damaged, and c the fused site laceration extends to the diaphragm. In our case, there was almost no damage to the fused site itself; therefore, it was considered that the main first injury was pericardium or diaphragm and spread to the another d