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.
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Univ Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USAUniv Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USA
Coffman, Zachary J.
McGahren, Eugene D.
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Univ Virginia, Childrens Hosp, Dept Surg, Div Pediat Surg, POB 800709, Charlottesville, VA 22908 USAUniv Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USA
McGahren, Eugene D.
Vergales, Brooke D.
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Univ Virginia, Childrens Hosp, Dept Pediat, Div Neonatol, POB 800386, Charlottesville, VA 22908 USAUniv Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USA
Vergales, Brooke D.
Saunders, Christine H.
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Univ Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USAUniv Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USA
Saunders, Christine H.
Vergales, Jeffrey E.
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Univ Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USAUniv Virginia, Childrens Hosp, Dept Pediat, Div Cardiol, POB 800386, Charlottesville, VA 22908 USA