Vázquez MJC, Trueba LD, Portillo TL

Language: Spanish
References: 5
Page: 39-42
PDF size: 169.52 Kb.

ABSTRACT

A 70-year-old male entered the emergency department after being hit by a car. He had bilateral thoracic pain and dyspnea. On the physical examination we found him with patent airway, absence of vesicular murmur in the lower portion of the right hemithorax in association with loss of hepatic dullness, hemodinamic stability, conscious with 15 points on the Glasgow coma scale. We obtained a plain thoracic x-ray, which revealed a radiolucent image over the liver; for that reason, we obtained a contrasted CT-scan which showed diaphragmatic integrity. This image finding may suggest a traumatic diaphragmatic rupture, however it may be only a radiological finding.

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