Abstract
Diaphragmatic injury following blunt thoracoabdominal trauma is rare and is usually associated with key radiological features like dependent viscera sign, collar sign, diaphragmatic thickening and defects. It may also be associated with secondary signs like intrathoracic herniation of abdominal viscera. Diaphragmatic crura, which are attached to the upper lumbar vertebra represent prominently thickened folds along the posterior diaphragm, are usually inconspicuous on routine Computed Tomography (CT) scans. We present a case of a young patient who sustained a motor vehicle accident and developed difficulty in breathing. CT scan of the patient revealed bilateral crural hematomas, with splenic and renal lacerations and no other sign of diaphragmatic injury. The patient was operated and blunt diaphragmatic rupture was confirmed at surgery.
Keywords
Publication details
- DOI
- 10.5001/omj.2014.99
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Jha, A., Ahmad, I., Gupta, P., Gupta, G., Ahmad, M., & Saud, M. (2014). Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report. Oman Medical Journal. https://doi.org/10.5001/omj.2014.99
MLA 9
Jha, Abhishek, et al. "Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report." Oman Medical Journal, 2014. https://doi.org/10.5001/omj.2014.99.
Chicago (author–date)
Jha, Abhishek, Ibne Ahmad, Prakhar Gupta, Gagan Gupta, Mehtab Ahmad, and Mohd Saud. 2014. "Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report." Oman Medical Journal. https://doi.org/10.5001/omj.2014.99.
Harvard
Jha, A., Ahmad, I., Gupta, P., Gupta, G., Ahmad, M. and Saud, M. (2014) 'Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report', Oman Medical Journal. doi:10.5001/omj.2014.99.
Vancouver
Jha A, Ahmad I, Gupta P, Gupta G, Ahmad M, Saud M. Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report. Oman Medical Journal. 2014. doi:10.5001/omj.2014.99
IEEE
A. Jha, I. Ahmad, P. Gupta, G. Gupta, M. Ahmad, and M. Saud, "Isolated Crural Hematoma Mimicking Retroperitoneal Lymphadenopathy, A Unique Sign of Traumatic Diaphragmatic Rupture: A Case Report," Oman Medical Journal, 2014, doi: 10.5001/omj.2014.99.