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 
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  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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