Diaphragmatic rupture and ductus diverticulum

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Shortness of breath following MVA.

Patient Data

Age: 55 years
Gender: Male

There is large defect at the right hemidiaphragm measuring 143 × 87 mm in size, accompanied by partial herniation of the liver through the defect. Passive collapse is present at the lower zone of the right lung. Mild right-to-left displacement of the heart is observed due to the pressure effect of the herniated liver. Focal atheromatous aortic bulge involving the anteromedial aorta near the isthmus is compatible with a ductus diverticulumPseudo-aneurysm could be considered as a differential.

Case Discussion

Differentiation of an aortic pseudoaneurysm versus a ductus diverticulum is critical, particularly in the setting of trauma.

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Case information

rID: 63098
Published: 14th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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