Rupture of the Right Hemidiaphragm
Traumatic Rupture of the Right Hemidiaphragm in a 23-yo male non-smoker's case, that had been missed (undiagnosed) during emergency laparotomy elsewhere (as well as a liver laceration!)
righthemidiaphr1.jpg

GREEN: Ruptured Right hemidiaphragm. BLUE: Liver Laceration

righthemidiaphr2.jpg

GREEN arrows: rupture of the right hemidiaphragm

righthemidiaphr3.jpg

GREEN arrows: rupture of the right hemidiaphragm

righthemidiaphr4.jpg

Repair of the rupture by sewing (pledgetted) in 2 layers

righthemidiaphr5.jpg

Preop CXR: marked elevation of the right hemidiaphragm

righthemidiaphr6.jpg

Early postop CXR