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Spontaneous rupture of the diaphragm
  1. Ali Akbara,
  2. Dakshesh H Parikhb,
  3. Helen Altonc,
  4. Jane R Clarkea,
  5. Peter H Wellera,
  6. Stuart H Greend
  1. aPaediatric Respiratory and CF Unit, Birmingham Children’s Hospital NHS Trust, Steelhouse Lane, Birmingham B4 6NH, UK, bPaediatric Surgery, Birmingham Children’s Hospital NHS Trust, cDepartment of Radiology, Birmingham Children’s Hospital NHS Trust, dPaediatric Neurology, Birmingham Children’s Hospital NHS Trust
  1. Dr Akbar

Abstract

A 2.5 year old girl with metachromatic leukodystrophy presented with acute respiratory distress and was initially wrongly diagnosed with pneumothorax. Barium meal showed bowel loops in the left hemithorax, which prompted surgical intervention; spontaneous rupture of the diaphragm was diagnosed at surgery.

  • ruptured diaphragm
  • pneumothorax
  • diaphragmatic hernia
  • metachromatic leukodystrophy

https://doi.org/10.1136/adc.81.4.341

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