title: Isolated crural hematoma mimicking retroperitoneal lymphadenopathy, a unique sign of traumatic diaphragmatic rupture: a case report.
abstract: Diaphragmatic injury following blunt thoracoabdominal trauma is rare and is usually associated with key radiological features like dependent viscera sign, collar sign, diaphragmatic thickening and defects. It may also be associated with secondary signs like intrathoracic herniation of abdominal viscera. Diaphragmatic crura, which are attached to the upper lumbar vertebra represent prominently thickened folds along the posterior diaphragm, are usually inconspicuous on routine Computed Tomography (CT) scans. We present a case of a young patient who sustained a motor vehicle accident and developed difficulty in breathing. CT scan of the patient revealed bilateral crural hematomas, with splenic and renal lacerations and no other sign of diaphragmatic injury. The patient was operated and blunt diaphragmatic rupture was confirmed at surgery.
authors.affiliation: Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh India.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Jha
authors.affiliation: Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Ibne
authors.initials: I
authors.lastname: Ahmad
authors.affiliation: Department of General Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Prakhar
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Gagan
authors.initials: G
authors.lastname: Gupta
authors.affiliation: Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Mehtab
authors.initials: M
authors.lastname: Ahmad
authors.affiliation: Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Mohd
authors.initials: M
authors.lastname: Said
keywords: CT scan; Diaphragm; Thorax