Paediatric traumatic rupture of the diaphragm

  • Augustine Olugbemi
  • Ezekiel Ogunleye
  • O.A. Olowoyeye
  • J.O. Eyekpegha
  • Akerele Oluwaseye
  • Daniel Kehinde
  • Oyebola Adekola
Keywords: Traumatic Diaphragmatic Rupture, Child, Atypical Chest pain, Blunt injury

Abstract

Traumatic diaphragmatic rupture is not a common injury in children. It is an important cause of morbidity and mortality, though diagnosis may be missed or delayed with atypical clinical presentation and confounding radiological features. A 4-year-old male presented with periumbilical abdominal pain, bilious vomiting, fever and progressive difficulty in breathing for two days. He had complained of vague left-side chest pain on return from the swimming pool about 6 weeks earlier. An initial chest radiograph showed a non-outlined left hemidiaphragm, a left pneumothorax, rightward mediastinal shift and suspected bowel in the chest. He could not afford a CT scan, hence a repeat chest radiograph was performed, which outlined the stomach with an air-fluid level in the left hemithorax.

Keywords: Traumatic Diaphragmatic Rupture, Child, Atypical Chest pain, Blunt injury

Published
2020-02-07
Section
Articles

Journal Identifiers


eISSN: 2523-0816
print ISSN: 1999-9674