Figure 1: Thoracoabdominal CT objectifying left pneumothorax of average abundance, and stomach in intrathoracic position

Figure 2: A) chest X-ray revealed a return of the lung to the wall with elevation of the left diaphragmatic dome;
B) Chest X-ray has objectifying a return of the diaphragm to its normal position after surveillance

Figure 3: Thoracic and abdominal CT showed a lower right lobe lung contusion with suspicion of diaphragmatic rupture and intrathoracic liver herniation

Figure 4: A) Chest X-ray showed a right apical penumothorax with elevation of the right diaphragmatic dome;
B) Chest X-ray showed a return of the diaphragm to its normal position after a six-month follow-up

Figure 5: A) Thoracic abdominal CT showed a contusion of the right pulmonary base, multiple costal fractures and lesion of liver laceration; B) Chest CT scan showed an abnormally high liver position

 

Observation 1

Observation 2

Observation 3

Age

20

35

44

Type of chest trauma

Thoracic wound

Closed chest trauma

Closed chest trauma

Symptoms

Chest pain, dyspnea

Chest pain, dyspnea

Chest pain, dyspnea

Chest X-ray

Left pneumothorax

-Right pneumothorax
-Elevation of the right diaphragmatic dome

right pneumothorax

Thoracic CT

stomach in intrathoracic position with hepatic fracture

-lower right lobe lung, intrathoracic liver herniation

-Contusion of the lower right lobe, abnormally high liver position

Procedure

Thoracoscopy (intact diaphragm)

Video-assisted minithoracotomy (intact diaphragm)

Surveillance

Table 1: Observations of Patients