EURORAD ESR

Case 325

Traumatic diaphragmatic rupture

Author(s)
F. Giroul, V. Lens, J-C Kurdziel
 
Patient
male, 35 year(s)
 
 
  • Figure 1
    Chest X-Ray - AP
     

    Chest X Ray at admission: double hydro-aeric level is present on the left diaphragmatic dome. Diaphragmatic rupture should have been evocated.

     
    Area of Interest: unknown; Imaging Technique: Chest X-Ray - AP;

    Chest X Ray at Day 7: significative gastric dilatation in higher intrathoracic position, hypoventilation of left lower lobe. Diaphragmatic rupture is suspected.

     
    Area of Interest: unknown; Imaging Technique: Chest X-Ray - AP;
     
     
  • Figure 2
    Oeso-Gastric Contrast Study

    Confirmation of the intrathoracic position of the stomach

     
    Area of Interest: unknown; Imaging Technique: Oeso-Gastric Contrast Study;
     
     
  • Figure 3
    Thorac-Abdominal MRI
     

    sagittal views demonstrate the diaphragmatic tear and the associated injuries ( lung compression, pleural effusion and associated left colic angle herniation ).

     
    Area of Interest: unknown; Imaging Technique: Thorac-Abdominal MRI;

    coronal views demonstrate the diaphragmatic tear and the associated injuries ( lung compression, pleural effusion and associated left colic angle herniation ).

     
    Area of Interest: unknown; Imaging Technique: Thorac-Abdominal MRI;
     
     
Chest X Ray at admission: double hydro-aeric level is present on the left diaphragmatic dome. Diaphragmatic rupture should have been evocated.
 
Chest X Ray at Day 7: significative gastric dilatation in higher intrathoracic position, hypoventilation of left lower lobe. Diaphragmatic rupture is suspected.
 
Confirmation of the intrathoracic position of the stomach
 
sagittal views demonstrate the diaphragmatic tear and the associated injuries ( lung compression, pleural effusion and associated left colic angle herniation ).
 
coronal views demonstrate the diaphragmatic tear and the associated injuries ( lung compression, pleural effusion and associated left colic angle herniation ).
 
 
 
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