title: Late presentation of a traumatic rupture of the diaphragm with gastric volvulus in a child: report of a case.
abstract: Rupture of the diaphragm following blunt trauma is rare in children. A late presentation of a left diaphragmatic rupture with gastric volvulus is also highly exceptional. The authors report the case of a 5-year-old boy with a left diaphragmatic rupture, who presented with acute respiratory distress and volvulus of the herniated stomach 6 months after injury. The features of this uncommon entity are discussed with special emphasis on early diagnosis. It is concluded that repeated chest radiographs during hospitalization, as well as some days after discharge, should be obtained in trauma patients to detect a slowly increasing herniation.
authors: Department of Pediatric Surgery, Ankara University School of Medicine, 06100 Dikimevi, Ankara, Turkey.
authors: Bilal
authors: B
authors: Alper
authors: Rahsan
authors: R
authors: Vargun
authors: Meltem Bingol
authors: MB
authors: Kologlu
authors: Suat
authors: S
authors: Fitoz
authors: Emine
authors: E
authors: Suskan
authors: Huseyin
authors: H
authors: Dindar
mesh_terms: D002675:Child, Preschool; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D012128:Respiratory Distress Syndrome / Q000150:complications; D012421:Rupture / Q000150:complications* / Q000601:surgery; D013277:Stomach Volvulus / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery