PMC4366828_01
Chest X-ray demonstrated herniation of abdominal content into the left pleural cavity (Patient 1; seatbelt without airbag)
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F1
Focus Assessment with sonography of trauma (FAST) was positive, chest X-ray demonstrated herniation of abdominal content into the left pleural cavity [Figure 1] and pelvic X-ray was normal.
Exploratory laparotomy showing grade V left diaphragmatic rupture with transaction of 10 cm of jejunum with its mesentery (patient 1)
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F2
Patient was immediately transferred for exploratory laparotomy and found to have grade V left diaphragmatic rupture with significant left hemothorax, transected 10 cm of jejunum with its mesentery [Figure 2], and multiple bleeding mesenteric lacerations in mid small bowel and distal ileum.
A large soft tissue hematoma of (degloving/shearing injury) lower abdomen and left lateral lumbar areas (Patient 1)
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F3
A large soft tissue hematoma of (degloving/shearing injury) lower abdomen and left lateral lumbar areas were evacuated and drained with three large J-vac closed suction [Figure 3].
PMC4366828_02
CT scan demonstrated grade V left diaphragmatic injury with herniation of abdominal content into left hemothorax (Patient 2; with airbag)
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F4
CT scan demonstrated grade V left diaphragmatic injury with herniation of abdominal content into left hemothorax [Figure 4], bilateral lung contusions, suspicious of extravasated contrast from prostatic urethra.
Mesenteric tear of ileocecal junction, rectosigmoid junction, and serosal tear of rectum (Patient 2; with airbag)
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F5
Patient was shifted to the operating room for repair of diaphragm, insertion of left thoracostomy tube and repair of mesenteric tear of ileocecal junction, rectosigmoid junction, and serosal tear of rectum [Figure 5].