PROMOTING ACCESS TO AFRICAN RESEARCH

Annals of African Surgery

Log in or Register to get access to full text downloads.

Remember me or Register



Paediatric traumatic rupture of the diaphragm

Augustine Olugbemi, Ezekiel Ogunleye, O.A. Olowoyeye, J.O. Eyekpegha, Akerele Oluwaseye, Daniel Kehinde, Oyebola Adekola

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




AJOL African Journals Online