Paediatric Traumatic Diaphragmatic Rupture

Augustine Olugbemi1,EzekielOgunleye1, Olowoyeye Omodele1,Joel Eyekpegha2, Akerele Oluwaseye1, Daniel Kehinde1, OyebolaAdekola1

1.Lagos University Teaching Hospital, Lagos, Nigeria

2.Obafemi Awolowo University Teaching Hospital, Nigeria

Correspondence to: Dr.Adekola Oyebola, CMUL/LUTH PMB 12003, Surulere, Lagos, Nigeria; email: oyebolaadekola@yahoo.com

Summary

Traumatic diaphragmatic rupture is not a common injury in children. It is an important cause of morbidity and mortality, though diagnosis may be missed or delayed with atypical clinical presentation and confounding radiological features. A 4-year-old male presented with periumbilical abdominal pain, bilious vomiting, fever and progressive difficulty in breathing for two days. He had complained of vague left-side chest pain on return from the swimming pool about 6 weeks earlier. An initial chest radiograph showed a non-outlined left hemidiaphragm, a left pneumothorax, rightward mediastinal shift and suspected bowel in the chest. He could not afford a CT scan, hence a repeat chest radiograph was performed, which outlined the stomach with an air-fluid level in the left hemithorax.

Keywords: Traumatic Diaphragmatic Rupture, Child, Atypical Chest pain, Blunt injury

Ann Afr Surg. 2020; 17(1):35–38.

DOI: http://dx.doi.org/10.4314/aas.v17i1.9

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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