Abstract
A 61-year-old man was referred to our hospital after a high impact motor vehicle accident. A full body CT scan revealed a cranial subdural hematoma and multiple fractures of the axial and appendicular skeleton (not shown), as well as a retrosternal hematoma. Because of steadily decreasing hemoglobin and hematocrit levels on day 2, a repeat thoracoabdominal CT scan was performed, but active bleeding was not found. On day 7, sudden desaturation and increased drain output from the nasogastric tube prompted for a repeat thoraco-abdominal CT scan.
Highlights
A 61-year-old man was referred to our hospital after a high impact motor vehicle accident
If the rupture extends to the pericardium, Contrast-enhanced CT scan (Fig. 1) shows abdominal content may herniate directly into the on axial section at the level of the cardiac ventricles pericardial sac
Tion at the level of the cardiac ventricles (Fig. 2) the An abnormal air shadow in the cardiac area on retrosternal hematoma has disappeared almost chest radiographs is suggestive of IPDH, but CT is completely
Summary
A 61-year-old man was referred to our hospital after a high impact motor vehicle accident. On day 7, sudden desaturation and increased drain output from the nasogastric tube prompted for a repeat thoraco-abdominal CT scan. 1 2 Fig. Traumatic intrapericardial diaphragmatic herniation — SCHOLLAERT et al If the rupture extends to the pericardium, Contrast-enhanced CT scan (day 0) (Fig. 1) shows abdominal content may herniate directly into the on axial section at the level of the cardiac ventricles pericardial sac.
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