Traumatic diaphragmatic rupture

Case contributed by Dr Sameh Saied Ali

Presentation

Patient was a victim of major RTA with danger mechanism of injury. He was hemodynamically unstable.

Patient Data

Age: 40 years
Gender: Male
X-ray

Frontal chest radiograph shows markedly elevated left hemidiaphragm with undulant outline with elevation of the gastric shadow, associated with marked contralateral shift of the cardiac shadow and obliteration of the left costophrenic angle. 

Fracture of the left second rib. 

The patient was taken to the OT, where left diaphragmatic rupture and massive liver lacerations were found.

X-ray

Post-operative chest radiograph showing:

  • Restoration of the normal level of the left diaphragmatic copula.
  • Pneumopericardium/pneumomediastinum.
  • ICD tube with related left lateral chest wall surgical emphysema.  
PlayAdd to Share

Case information

rID: 79848
Published: 6th Jul 2020
Last edited: 9th Jul 2020
System: 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.