“ Usually occurs due to blunt abdominal trauma, with the left side three-times more likely to rupture (the liver shields the right side). PL...
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Usually occurs due to blunt abdominal trauma, with the left side three-times more likely to rupture (the liver shields the right side).
PLAIN FILM
• Abnormal contour to the diaphragm, abdominal contents in the chest and deviation of an enteral tube
CT
• Discontinuity of the left hemidiaphragm.
• ‘Collar’ sign describes a focal constriction of the herniating viscera at the site of rupture.
• The ‘dependent viscera’ sign is where abdominal viscera lie dependently against the posterior ribs due to loss of diaphragmatic support.
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