Delayed presentation of gastrothorax masquerading as pneumothorax.
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.
How
ChoonHow
C
Department of Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore. howchoonhow@yahoo.com
Tee
Augustine
A
Quah
Joanne
J
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