What is the mechanism of traumatic aortic transection?
Movement of the aortic arch against the fixed proximal descending aortic segment.
What clinical symptoms may isolated diaphragmatic rupture present with?
Epigastric, chest and referred shoulder tip pain. Respiratory distress.
- Blunt traumatic thoracic aortic transection and pseudoaneurysm with an associated large volume mediastinal haematoma.
- Left diaphragmatic rupture with stomach herniation into the chest. Left hemothorax and pulmonary contusions.
- Haemoperitoneum associated with blunt duodenal/jejunal injury, possible mesenteric tear, and a small subcapsular splenic contusion.
- Possible small blunt renal contusion.
- Right posterior 12th rib fracture.