title: Delayed presentation of gastrothorax masquerading as pneumothorax.
abstract: We report a case of traumatic diaphragmatic rupture (TDR) following an unusual blunt trauma. The history and initial chest radiograph prompted an insertion of a nasogastric tube which confirmed our diagnosis and decompressed the intra-thoracic gastric contents. We discuss briefly the diagnostic approach to the clinical management of TDR.
authors.affiliation: Department of Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore. howchoonhow@yahoo.com
authors.forename: ChoonHow
authors.initials: C
authors.lastname: How
authors.forename: Augustine
authors.initials: A
authors.lastname: Tee
authors.forename: Joanne
authors.initials: J
authors.lastname: Quah
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging*; D006801:Humans; D011030:Pneumothorax / Q000000981:diagnostic imaging*; D011859:Radiography; D012421:Rupture / Q000175:diagnosis; D013270:Stomach / Q000000981:diagnostic imaging; D014949:Wounds, Nonpenetrating / Q000150:complications