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Case Reports
. 2015 May 1;6(2):18.
eCollection 2015 May-Aug.

Right Hemi-Diaphragmatic Rupture: An Injury Missed or Masked?

Manoj Joshi  1 , Anjan Dhua  1
Affiliations
Case Reports

Right Hemi-Diaphragmatic Rupture: An Injury Missed or Masked?

Manoj Joshi et al. APSP J Case Rep. .

Abstract

Right sided traumatic diaphragmatic rupture in children is uncommon and may escape early detection. Missed injuries are associated with high mortality and morbidity due to incarceration and strangulation of abdominal viscera. We report a 15-month-old child with blunt trauma chest and abdomen, who presented with bilateral hemothoraces and liver laceration seven days after the incident. Diagnosis of right diaphragmatic rupture was confirmed after another week. The surgical repair of diaphragmatic rupture was undertaken successfully.

Keywords: Hemothorax; Thoraco-abdominal trauma; Traumatic diaphragmatic rupture.

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Figures

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Figure 1: Figure 1: (a) Radiograph - immediately after inserting chest tubes. (b) Persistent radio-opacity in right lower zones after a week of chest tube insertion. (c) Coronal section of CT thorax showing hepatothorax. (d) Sagittal section of CT thorax showing margins of diaphragm around hepatothorax (Arrow heads)
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Figure 2: (a) Intra-operative image - liver across the rent into thoracic cavity. (b) The lacerated liver surface with the edges of the rent defined with stay sutures. (c) Rent repaired primarily.
See this image and copyright information in PMC

References

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