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- W2913947585 abstract "During the medical screening in the ED, a repeat chest radiograph was taken, revealing a barium-filled gastric viscus partially herniating into the thoracic cavity (Figure 2). The finding of diaphragmatic rupture was verified after nasogastric tube placement and confirmation of its tip above the left hemidiaphragm (Figure 3). The patient was admitted to the general surgery service, where he underwent laparotomy and repair of the diaphragmatic defect. Blunt trauma is responsible for only 5% of the cases of diaphragmatic rupture. The left hemidiaphragm is involved 80% to 90% of the time. ED diagnosis with routine posteroanterior and lateral chest radiographs can delineate the diagnosis 75% of the time by demonstrating abdominal contents above the diaphragm. Helical computed tomography with coronal and sagittal reconstructions increases the sensitivity to more than 90%. Operative repair of the diaphragm can be made through the abdomen or through the chest if other thoracic injuries need to be addressed. Images in Emergency MedicineAnnals of Emergency MedicineVol. 44Issue 6PreviewA 39-year-old man presented to the emergency department (ED) complaining of 3 days of severe midepigastric burning radiating into his chest and an inability to keep any solids or liquids down. Three weeks earlier, he had been involved in a motor vehicle crash, and he was diagnosed with minor grade 1 liver and splenic lacerations and subsequently released from the hospital uneventfully 24 hours later. Full-Text PDF" @default.
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- W2913947585 date "2004-12-01" @default.
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- W2913947585 title "Diagnosis" @default.
- W2913947585 doi "https://doi.org/10.1016/j.annemergmed.2004.08.027" @default.
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