scholarly journals Fractured Ribs and the CT Funky Fat Sign of Diaphragmatic Rupture

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Iclal Ocak ◽  
Diane C. Strollo
Keyword(s):  
Multidetector Ct ◽  
Diaphragmatic Injury ◽  
Diaphragmatic Rupture ◽  
Rib Fracture ◽  
Diagnostic Challenge ◽  
Traumatic Diaphragmatic Rupture ◽  
Polytrauma Patients ◽  
Fractured Ribs ◽  
Omental Fat

Traumatic diaphragmatic rupture remains a diagnostic challenge for both radiologists and surgeons. In recent years, multidetector CT has markedly improved the diagnosis of diaphragmatic injury in polytrauma patients. Herein, we describe two cases of subacute presentation of traumatic diaphragmatic rupture from a penetrating rib fracture and subsequent intrathoracic herniation of omental fat, representing the CT “funky fat” sign.

Traumatic diaphragmatic rupture: delayed presentation following a SCUBA dive

2020 ◽  
Vol 13 (9) ◽  
pp. e234040
Author(s):  
Pei Yinn Toh ◽  
Simon Parys ◽  
Yuki Watanabe
Keyword(s):  
Abdominal Pain ◽  
Chest Pain ◽  
Laparoscopic Repair ◽  
Diaphragmatic Rupture ◽  
Delayed Presentation ◽  
Diagnostic Challenge ◽  
Traumatic Diaphragmatic Rupture ◽  
Breathing Apparatus ◽  
Life Threatening ◽  
Upper Abdominal

Traumatic diaphragmatic rupture (TDR) is a rare yet life-threatening occurrence that remains a diagnostic challenge for clinicians. Delayed presentation with associated strangulation of the contents, although uncommon, requires emergent management. A 42-year-old woman presented with constant, severe left-sided shoulder and chest pain, as well as associated upper abdominal pain following a self-contained underwater breathing apparatus (SCUBA) dive. A chest radiograph (CXR) and CT showed a left-sided diaphragmatic hernia containing stomach. She subsequently underwent a laparoscopic repair of the diaphragmatic defect and recovered well postoperatively.

scholarly journals Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ibrahim Amadou Magagi ◽  
Oumarou Habou ◽  
Harissou Adamou ◽  
Ousseini Adakal ◽  
Mahamoud Omid Ali Ada ◽  
...  
Keyword(s):  
Diaphragmatic Rupture ◽  
Pleural Drainage ◽  
Surgical Department ◽  
Computed Tomographic ◽  
Traumatic Diaphragmatic Rupture ◽  
Abdominal Content ◽  
Pedestrian Accident ◽  
Computed Tomographic Scan ◽  
Diagnostic Difficulties ◽  
Thoracic And Abdominal

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage. The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later. At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed. The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms. The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.

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