CTICasesTraumatic Diaphragmatic Hernia
Imaging findings
CT chest/abdomen post motor vehicle crash shows a large 12 cm tear in the left hemidiaphragm with herniation of the stomach and abdominal contents into the chest cavity. The spleen is lacerated. Post-operative CT shows complete repair with a smooth diaphragmatic contour.
Key takeaways
Blunt abdominal or thoracic trauma can cause diaphragmatic rupture, which occurs most commonly on the left side due to protective shielding of the liver on the right. Rapid surgical reduction and suture repair are indicated to prevent bowel strangulation.
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