Case Report

Trauma to the neck: Manifestation of injuries outside the original zone of injury-A case report

Stephen O Heard*, Alexander Christakis, Brian Tashjian and Anne M Gilroy3

Published: 06 February, 2018 | Volume 2 - Issue 1 | Pages: 004-009

A 53-year-old male presented to the Emergency Department (ED) with multisystem trauma and respiratory distress following a blunt-force injury to his anterior left neck. CT imaging showed extensive subcutaneous emphysema and pneumomediastinum. A chest X-ray showed elevation of the left hemidiaphragm suggesting phrenic nerve injury which was confirmed by bedside ultrasonographic examination of the left hemidiaphragm. Flexible bronchoscopy demonstrated tracheal rupture. The patient was treated supportively and recovered without surgical treatment. Trauma-induced hemidiaphragmatic paralysis is rarely reported. This case represents a clinical scenario with demonstrable anatomic correlations, and a clinical reminder that phrenic nerve injury should be included in the differential diagnosis of respiratory distress in a trauma patient.

Read Full Article HTML DOI: 10.29328/journal.acr.1001006 Cite this Article Read Full Article PDF


Trauma; Phrenic nerve pslsy; Hemidiaphragmatic paralysis; Pneumomediastinum; Anatomage; Clinical anatomy


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