Case 40

  • Rita Joarder
  • Neil Crundwell
  • Matthew Gibson


A 40-year-old male presented with several days history of increasing dyspnoea. On examination the left side of the chest was hyper-resonant with no breath sounds. A pneumothorax was suspected and chest X-ray was performed. As insertion of an intercostal chest drain was being arranged by, the duty surgeon reviewed the chest X-ray and requested a MDCT of the chest and abdomen (Image 1, chest X-ray; Image 2, scanogram of CT; Image 3, coronal CT of chest (lung windows); Image 4, axial CT of upper abdomen and Image 5, coronal CT of upper abdomen).


Road Traffic Accident Multiplanar Reconstruction Chest Drain Diaphragmatic Rupture Abdominal Content 


  1. 1.
    Chen HW, Wong YC, Wang LJ, et al. (2010) Computed tomography in left sided and right sided blunt diaphragmatic rupture: experience with 43 patients. Clin Radiol 65(3);206-12PubMedCrossRefGoogle Scholar

Further Reading

  1. Eren S, Kantarci M, Okur A. (2006) Imaging of diaphragmatic rupture after trauma. Clin Radiol 61:467-77PubMedCrossRefGoogle Scholar
  2. Rashid F, Chakrabarty MM, Singh R et al. (2009) A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 21;4:32CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Rita Joarder
    • 1
  • Neil Crundwell
    • 1
  • Matthew Gibson
    • 2
  1. 1.Conquest HospitalEast SussexUK
  2. 2.Royal Berkshire HospitalReadingUK

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