CTICasesTraumatic Diaphragmatic Rupture and Aortic Injury
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Imaging findings
Chest radiograph shows findings typical for traumatic rupture of the left hemidiaphragm (elevated hemidiaphragm, stomach in chest, lung opacity). Post-surgery CT reveals an additional traumatic aortic injury, located slightly lower than the usual aortic isthmus, but otherwise typical for traumatic injury to the aortic wall.
Key takeaways
Major chest trauma often involves multiple significant abnormalities. When one severe injury (e.g., diaphragmatic rupture) is identified, it's crucial to diligently look for other associated injuries, such as traumatic aortic injury, which may be at atypical locations.
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