IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Complex polytrauma with diaphragmatic rupture, aortic pseudoaneurysm, solid organ injury

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Motor vehicle accident.

Patient Data

Gender: Female

Large left diaphragmatic rupture with intrathoracic displacement of stomach into left chest.

Left lung consolidation with possible injury. 

Traumatic thoracic aortic pseudoaneurysm at level of ligamentum arteriosum. 

Complex liver lacerations. Small splenic laceration/infarct.

Minor hazy fluid in retroperitoneum.

Pelvic fractures with extraperitoneal hemorrhage. No evidence of urinary bladder rupture on delayed imaging.

Case Discussion

This case can serve as a good review of many traumatic injuries as a result of a high-speed motor vehicle accident:

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.