Simultaneous pneumothorax and pneumoperitoneum as a late consequence of traumatic injury of the diaphragm: Multimodality imaging approach with surgical correlation and treatment

Antonio Solazzo, MD; Mario Barone, MD; Dora Bonanno, MD; Carmelo Sofia, MD; Antonio Bottari, MD; Velio Ascenti, MD; Dario Familiari, MD; Silvio Mazziotti, MD; Giuseppe Cicero, MD; Francesco Monaco, MD

Radiology Case Reports (Sep 2021)

Simultaneous pneumothorax and pneumoperitoneum as a late consequence of traumatic injury of the diaphragm: Multimodality imaging approach with surgical correlation and treatment

Antonio Solazzo, MD,
Mario Barone, MD,
Dora Bonanno, MD,
Carmelo Sofia, MD,
Antonio Bottari, MD,
Velio Ascenti, MD,
Dario Familiari, MD,
Silvio Mazziotti, MD,
Giuseppe Cicero, MD,
Francesco Monaco, MD

Affiliations

Antonio Solazzo, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Mario Barone, MD: Thoracic Surgery Unit, Cardiovascular and Thoracic Department, Policlinic University Hospital, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Dora Bonanno, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Carmelo Sofia, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Antonio Bottari, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Velio Ascenti, MD: Diagnostic and Interventional Radiology Unit, A.O. San Paolo, University of Milan, Via A. di Rudinì, 8, 20142 Milano, Italy
Dario Familiari, MD: Thoracic Surgery Unit, Cardiovascular and Thoracic Department, Policlinic University Hospital, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Silvio Mazziotti, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy
Giuseppe Cicero, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy; Corresponding author.
Francesco Monaco, MD: Thoracic Surgery Unit, Cardiovascular and Thoracic Department, Policlinic University Hospital, University of Messina, Policlinico “G. Martino” Via Consolare Valeria 1, 98100, Messina, Italy

Journal volume & issue: Vol. 16, no. 9
pp. 2421 – 2425

Abstract

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Simultaneous occurrence of pneumothorax and pneumoperitoneum is a rare event, usually related to traumas or surgical procedures involving the diaphragm.However, clinicians should be aware of the possible onset of these two clinical conditions even in patients without a recent clinical history that can clearly explain them.Cross-sectional imaging techniques are of great importance, providing crucial information about the patient's clinical status and guiding the following patient management.This work describes a unique case of a sudden occurrence of simultaneous pneumothorax and pneumoperitoneum in a previous asymptomatic man with a solely clinical history of minor trauma during childhood, evaluated through a multimodality imaging approach and treated with video-assisted thoracoscopy surgery.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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