CTICasesTraumatic Diaphragmatic Laceration and Herniation
Imaging findings
Coronal and sagittal chest CT reformats demonstrate a direct defect in the left hemidiaphragm along a bullet tract extending from the left shoulder to the abdomen. A small portion of the colon is seen herniating through the diaphragmatic defect into the left hemithorax.
Key takeaways
Penetrating chest trauma can result in diaphragmatic laceration and secondary diaphragmatic hernia. Multiplanar CT reconstructions (coronal and sagittal) are highly sensitive for directly visualizing diaphragmatic discontinuities and herniated abdominal contents.
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