Rupture of the right hemidiaphragm following blunt trauma: The use of ultrasound in diagnosis
- 1 August 1990
- journal article
- research article
- Published by Elsevier BV in Clinical Radiology
- Vol. 42 (2), 97-101
- https://doi.org/10.1016/s0009-9260(05)82076-8
Abstract
Diaphragmatic rupture occurs in approximately 5% of patients who sustain multiple trauma and post-mortem studies suggest that right-sided rupture is more common than generally realized. Four cases of rupture of the right hemidiaphragm secondary to blunt trauma are presented. The chest radiographs were all similar, demonstrating a right sided fluid collection and right lower lobe consolidation in all patients. No patient had a pneumothorax. CT was useful only in retrospect, demonstrating a posterior eventration of the liver into the thorax in two patients. Ultrasound proved diagnostic in all cases demonstrating either the free edge of the diaphragm as a flap within the pleural fluid or the liver herniating into the thorax. The value of ultrasound as a simple, non-invasive and direct means of imaging the diaphragm is emphasized.This publication has 19 references indexed in Scilit:
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