Traumatic diaphragmatic rupture in children

Traumatic diaphragmatic rupture in children

Blog Article

Introduction: Traumatic diaphragmatic ruptures (TDR) are rare in children and when present are usually associated with polytrauma.Due to the non-specific signs in acute setting and to the occurrence with other main organ injuries, the diagnosis of TDR is often missed.The few reported cases in the literature are showing a high incidence of delayed diagnosis Extractor Fan leading to increased morbidity and mortality.

We present the case of a boy who was admitted after being run over by a lorry and an early diagnosis of TDR was made.An initial Chest X-ray showed a right elevated hemidiaphragm raising the possibility of TDR.A misleading diagnosis of Paper pleural effusion led to insertion of a chest drain with no significant consequences.

A repeated CT confirmed the TDR diagnosis and the patient was taken to theatre the same day for surgical repair.He had an eventful recovery and he was discharged 28 days postoperatively.Conclusion: The diagnosis of TDR remains a challenging clinical and imaging entity.

A very high index of suspicion is required in the scenario of a polytrauma patient, especially in victims of blunt abdominal trauma.