title: Spontaneous rupture of the diaphragm.
abstract: A 2.5 year old girl with metachromatic leukodystrophy presented with acute respiratory distress and was initially wrongly diagnosed with pneumothorax. Barium meal showed bowel loops in the left hemithorax, which prompted surgical intervention; spontaneous rupture of the diaphragm was diagnosed at surgery.
authors.affiliation: Paediatric Respiratory and CF Unit, Birmingham Children's Hospital NHS Trust, Steelhouse Lane, Birmingham B4 6NH, UK.
authors.forename: A
authors.initials: A
authors.lastname: Akbar
authors.forename: D H
authors.initials: DH
authors.lastname: Parikh
authors.forename: H
authors.initials: H
authors.lastname: Alton
authors.forename: J R
authors.initials: JR
authors.lastname: Clarke
authors.forename: P H
authors.initials: PH
authors.lastname: Weller
authors.forename: S H
authors.initials: SH
authors.lastname: Green
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007966:Leukodystrophy, Metachromatic / Q000150:complications*; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D011030:Pneumothorax / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D012422:Rupture, Spontaneous