Abstract
Eventration of the diaphragm is the condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. Traumatic diaphragmatic rupture is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident. Multi-slice CT and Magnetic Resonance Imaging in the pre-operative evaluation of trauma patients, diaphragmatic rupture can be still overlooked if not evaluated with the fair degree of clinical suspicion, more so if it is associated with an eventration of diaphragm - as was in our case.
Highlights
Traumatic diaphragmatic rupture (TDR) is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident (MVA)
Multi-slice computed tomography (CT) and Magnetic Resonance Imaging in the pre-operative evaluation of trauma patients, diaphragmatic rupture can be still overlooked if not evaluated with the fair degree of clinical suspicion, more so if it is associated with an eventration of diaphragm - as was in our case
It has been reported in upto 5% of thoracoabdominal trauma patients
Summary
Traumatic diaphragmatic rupture (TDR) is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident (MVA). It has been reported in upto 5% of thoracoabdominal trauma patients. Cases Journal 2009, 2:6615 http://casesjournal.com/casesjournal/article/view/6615 child was first seen resuscitation had been started and a chest tube had been placed on the right side and 200 ml of blood had been drained. Secondary survey revealed bruise over the right chest, decreased air entry on the right side, central placed mediastinal structures and normal heart sounds. On the second postoperative the patient started draining chyle (400-500 ml/day) from the right chest tube, confirmed by biochemical analysis. The child is doing well and is on follow up
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