the detailed report illustrates : ( 1 ) the frequently vague presenting symptoms , ( 2 ) the need for high index of suspicion in evaluating lesions associated with the diaphragmatic surface , ( 3 ) importance of a thorough history and physical , and ( 4 ) the invaluable aid of diagnostic pneumoperitoneum in establishing the diagnosis preoperatively , thereby allowing a completely planned surgical approach .
C0220825
evaluating
C0031809
physical