Abstract
Traumatic ruptures of the diaphragmatic dome are rare in children and are generally related to a road accident. However, they can be life threatening. We report a new case of diaphragmatic rupture hospitalized in the department of pediatric surgery at the Mohammed V Hospital in Tanger. The case involved a 3-year-old boy who was admitted to the emergency room of the Mohammed 5 Hospital in Tanger for thoracic contusion and multiple skin lesions following a traffic accident. The child remained conscious. His hemodynamic status was stable, SO2= 96% on room air without chest deformity. The diagnosis was suspected on the chest X-ray and confirmed by the thoraco-abdominal CT scan. After clinical stabilization, the child underwent a surgical cure. The evolution was favorable. The diagnosis of the diaphragmatic hernia is difficult and requires a CT scan. The surgical treatment allows the reintegration of the herniated organs and the suture of the breach. The prognosis is in most cases favorable.
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