CTICasesTraumatic Lateral Diaphragmatic and Abdominal Wall Rupture
Imaging findings
CT demonstrates left rib fractures, subcutaneous emphysema, splenic laceration, and a low-lying lateral defect in the diaphragm and abdominal wall with herniation of abdominal contents into the subcutaneous tissues.
Key takeaways
High-impact blunt trauma can cause lateral diaphragmatic avulsion combined with abdominal wall rupture, leading to direct subcutaneous herniation. This represents a distinct injury pattern from typical central or posterior diaphragmatic ruptures.
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