Authors
Philip Umman, Senior Lecturer in General Surgery, Department of Surgery, T D Medical College, Alappuzha
Abstract
Diaphragmatic injury following blunt abdominal trauma is an often missed diagnosis in the emergency setting unless looked for specifically, We present the case of a 47 year old manual laborer who presented to casualty with history of a fall from a tree on to his back. He complained of pain in the left shoulder and back. A plain X ray of the chest showed a left scapular fracture and tenting of the left hemi diaphragm with stomach fundic gas shadow and colonic shadows in the left lower zone. A contrast enhanced computed tomogram of the lower chest and abdomen showed a rupture of the left hemi diaphragm with herniation of the stomach fundus and body and distal transverse colon into left hemi thorax.