A 6-year-old boy presented to the hospital after several hours of vomiting and dyspnea. He had been in a motor vehicle accident 6 months earlier and sustained a seatbelt injury that necessitated surgical repair of a right diaphragmatic hernia, accessed through the right thorax.
After the administration of contrast material through a nasogastric tube, repeat chest radiography was performed and confirmed that the stomach lay within the left hemithorax. The patient had a left posterolateral diaphragmatic rupture and underwent emergency surgery, during which the stomach, spleen, left kidney, and part of the transverse colon were repositioned within the abdomen and the rupture repaired.
A 6-year-old boy presented to the hospital after several hours of vomiting and dyspnea. He had been in a motor vehicle accident 6 months earlier and sustained a seatbelt injury that necessitated surgical repair of a right diaphragmatic hernia, accessed through the right thorax.
ReplyDeleteAfter the administration of contrast material through a nasogastric tube, repeat chest radiography was performed and confirmed that the stomach lay within the left hemithorax. The patient had a left posterolateral diaphragmatic rupture and underwent emergency surgery, during which the stomach, spleen, left kidney, and part of the transverse colon were repositioned within the abdomen and the rupture repaired.
Reference: http://www.nejm.org/doi/full/10.1056/NEJMicm1101087
Cool. Thanks for sharing.
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