Coexistence of Late Diagnosed Pericardial and Diaphragmatic Ruptures Caused by Rib Fracture: Case Report

Abstract

INTRODUCTION: While rib fractures due to blunt traumas are common, pericardial and diaphragmatic injuries caused by rib fractures are rarely seen. Diagnosis is challenging due to the difference in clinical symptoms which may have severe clinical consequences. 
 CASE: A 58-year-old female patient who had a traffic accident was referred to our centre due to left pericardial effusion while being followed up for tibial fracture. Left diaphragmatic rupture was detected in the radiographs taken. Intraoperative pericardial rupture was observed in the operated patient. The defects were repaired primarily and the patient was discharged in good health. 
 CONCLUSION: Although the diagnosis is difficult In multitraumas including thoracic trauma, especially in cases with multiple rib fractures, one should be more attentive considering the possibility of diaphragmic and pericardial ruptures.