Ruptured hemidiaphragm: unusual late presentation.
Diaphragmatic injuries may be undiagnosed in the acute posttraumatic period and may remain unrecognized despite a variety of chronic symptoms, until eventual emergency department presentation with an intestinal obstruction. We present a case of a female who experienced chronic chest pain during coitus that eventuated in an acute admission with an intrathoracic mesentero-axial volvulus of the stomach, 8 months after a motor vehicle accident. The literature regarding delayed presentation of a ruptured hemidiaphragm is reviewed.
Cameron
E W
EW
Department of Radiology, Charing Cross Hospital, London, United Kingdom.
Mirvis
S E
SE
D000063:Accidents, Traffic; D000328:Adult; D000465:Algorithms; D002637:Chest Pain / Q000209:etiology; D003108:Colonic Diseases / Q000209:etiology; D004630:Emergencies; D005260:Female; D006547:Hernia / Q000209:etiology; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D013277:Stomach Volvulus / Q000209:etiology*; D013997:Time Factors