Late presentation of a traumatic rupture of the diaphragm with gastric volvulus in a child: report of a case.
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.
Alper
Bilal
B
Department of Pediatric Surgery, Ankara University School of Medicine, 06100 Dikimevi, Ankara, Turkey.
Vargun
Rahsan
R
Kologlu
Meltem Bingol
MB
Fitoz
Suat
S
Suskan
Emine
E
Dindar
Huseyin
H
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