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2010, Number 4

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Anales de Radiología México 2010; 9 (4)

CT diagnosis of diaphragmatic rupture in blunt abdominal trauma

Mendieta-Sevilla SR

Language: Spanish
References: 13
Page: 206-211
PDF size: 258.39 Kb.


ABSTRACT

Case reports: we report two patients with diaphragmatic rupture, one right and one left with blunt abdominal trauma. In the case of right rupture suffered harassment on public streets and was taken to hospital with hypovolemic shock data, characterized by a BP of 90/40 and HR of 111 per minute. The initial study showed little liquid FAST abdominal and chest plate rib fractures and right diaphragm elevation. In the other case, the rupture of the left side, the patient is lifted from the street with no data on the mechanism of injury, hemodynamic status unaltered. Non-specialists in imaging overlooked the diagnosis of diaphragmatic rupture in both cases initially on chest radiographs, although there were reliable data from the injury. The definitive diagnosis was made with CT showing the characteristic signs of diaphragmatic rupture.


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