Complex polytrauma with diaphragmatic rupture, aortic pseudoaneurysm, solid organ injury
Diagnosis certain
Presentation
Motor vehicle accident.
Patient Data
Gender: Female
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Info
Large left diaphragmatic rupture with intrathoracic displacement of stomach into left chest.
Left lung consolidation with possible injury.
Traumatic thoracic aortic pseudoaneurysm at level of ligamentum arteriosum.
Complex liver lacerations. Small splenic laceration/infarct.
Minor hazy fluid in retroperitoneum.
Pelvic fractures with extraperitoneal hemorrhage. No evidence of urinary bladder rupture on delayed imaging.
Case Discussion
This case can serve as a good review of many traumatic injuries as a result of a high-speed motor vehicle accident:
- Aortic traction injury resulting in a pseudoaneurysm
- Diaphragmatic rupture
- Liver laceration
- Splenic laceration
- Pelvic fractures
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