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.
Department of Diagnostic Radiology, Chung-Ang University College of Medicine, Youngsan-Gu, Seoul, South Korea.
Hwa Yeon
HY
Lee
Seung Min
SM
Yoo
In Sup
IS
Song
Hyeon
H
Yu
Yang Soo
YS
Kim
Jong Beum
JB
Lee
Dong Sup
DS
Shon
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