Traumatic diaphragmatic rupture

Case contributed by Dr Stephanie BM Tan


15 meter fall.

Patient Data

Age: 70
Gender: Male

AP view of chest radiograph demonstrates a large gastric bubble in the left hemithorax. The nasogastric tube can be seen curling up within the fundus of the stomach.

When compared to the patient's old imaging, this is a new finding post 15 meter fall. This is consistent with a traumatic rupture of the left hemidiaphragm

Case Discussion

This patient was in respiratory distress and was taken to theater urgently for a laparotomy. At laparotomy, a 20 cm laceration in the left hemidiaphragm was identified. The fundus of the stomach and the spleen were reduced back into the abdominal cavity. The diaphragmatic tear was repaired primarily.

PlayAdd to Share

Case information

rID: 46309
Published: 30th Jun 2016
Last edited: 2nd Jul 2016
System: Trauma, Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.