Spontaneous diaphragmatic rupture after vomiting: rapid diagnosis on multiplanar reformatted multidetector CT.
Spontaneous rupture of the diaphragm is an extremely rare condition. We report a case of spontaneous rupture of the diaphragm that was caused by violent vomiting and immediately diagnosed by the imaging features before the operation. If there is a mass with an air-fluid level adjacent to the diaphragm on the chest radiograph in a patient who presents with sudden chest pain after violent vomiting, spontaneous rupture of the diaphragm should be suspected and multidetector CT with multiplanar reformatted images should be immediately performed.
Lee
Hwa Yeon
HY
Department of Diagnostic Radiology, Chung-Ang University College of Medicine, Youngsan-Gu, Seoul, South Korea.
Yoo
Seung Min
SM
Song
In Sup
IS
Yu
Hyeon
H
Kim
Yang Soo
YS
Lee
Jong Beum
JB
Shon
Dong Sup
DS
D000701:Analgesics, Opioid / Q000009:adverse effects; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008614:Meperidine / Q000009:adverse effects; D008875:Middle Aged; D011856:Radiographic Image Enhancement / Q000379:methods; D035583:Rare Diseases; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014839:Vomiting / Q000139:chemically induced / Q000150:complications*
D000701:Analgesics, Opioid; D003287:Contrast Media; D008614:Meperidine