Oyinloye O I, Adeboye M A N, Abdulkarim A A, Abdur-Rahman L O, Adesiyun O A M
Department of Radiology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Ann Trop Paediatr. 2010;30(1):57-60. doi: 10.1179/146532810X12637745452077.
Traumatic diaphragmatic rupture (TDR) is rare in children and can be easily overlooked because of lack of awareness of late presentation and concomitant injuries. A 4-year-old girl presented with respiratory distress 2 months after a road traffic accident. The initial differential diagnosis was pneumonia or pulmonary tuberculosis with associated pleural effusion. On further assessment, a diaphragmatic hernia was suspected. The initial radiograph showed left hydropneumothorax. Fluoroscopy, follow-up chest radiographs and barium swallow confirmed the diagnosis of left TDR. Surgery was undertaken but unfortunately she did not survive. Awareness of delayed presentation of TDR is essential for prompt management.
创伤性膈肌破裂（TDR）在儿童中较为罕见，由于对延迟表现和合并伤认识不足，很容易被忽视。一名4岁女孩在道路交通事故2个月后出现呼吸窘迫。最初的鉴别诊断为肺炎或肺结核伴胸腔积液。进一步评估后，怀疑为膈肌疝。最初的X线片显示左侧液气胸。透视、胸部X线片随访和钡餐检查确诊为左侧TDR。进行了手术，但不幸的是她没能活下来。认识到TDR的延迟表现对于及时处理至关重要。
