Diaphragmatic rupture

Case contributed by RMH Core Conditions

Presentation

Motorbike accident. Hypotensive. Hypoxic.

Patient Data

Age: 47
Gender: Male
Modality: X-ray

The appearances of the nasogastric tube tip suggested that there may be rupture of the left hemidiaphragm with the stomach and other intra-abdominal contents now lying within the left hemithorax. There is mediastinal shift to the right. The exact position of the left hemidiaphragm is difficult to be certain of.

Multiple rib fractures are identified with extensive air space opacification noted. No definite pneumothorax can be identified.

Case Discussion

Patient proceeded to trauma laparotomy and diaphragmatic rupture was confirmed.

Diaphragmatic rupture is a rare consequence of blunt trauma but recognition is important as it carries significant mortality and morbidity. 

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Case Information

rID: 35138
Case created: 23rd Mar 2015
Last edited: 18th May 2016
Systems: Chest, Trauma
Tag: trauma
Inclusion in quiz mode: Included

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