Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature

Diaphragmatic rupture causing repeated vomiting in a combined abdominal and head injury patient: a case report and review of the literature

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Abstract Background Diaphragmatic rupture after blunt abdominal injury is a rare trauma condition.Delayed diagnosis is not uncommon especially in the emergency room setting.Associated injuries often shift diagnosis and treatment priorities replica beach walk candle towards other more life-threatening conditions.Case presentation We present a challenging case of a young male with combined abdominal and head trauma.

Repeated episodes of vomiting dominated on clinical presentation that in the presence of a deep scalp laceration and facial bruising shifted differential diagnosis towards a traumatic brain injury.However, a computed tomography scan of the brain ruled out any intracranial itsmajorlook.com pathology.Finally, a more meticulous investigation with additional imaging studies confirmed the presence of diaphragmatic rupture that justified the clinical symptoms.Conclusions The combination of diaphragmatic rupture with head injury creates a challenging trauma scenario.

Increased level of suspicion is essential in order to diagnose timely diaphragmatic rupture in multiple trauma patients.