Case Of the Week (COW) 19 Feb 2023​

​Contributed By:  
Dr.Ganesh Rajagopal, Dr.Madhumitha B
Meenakshi Mission Hospital and Research Center, Madurai
​
Clinical History: 
A 13-year-old female child had come with complaints of epigastric pain, nausea, vomiting and shortness of breath for the past 2 days. She has had three similar episodes of acute pain in the past year. A plain chest radiograph and ultrasonogram of the chest were done bedside; following which intercostal drainage (ICD) tube was inserted into the right pleural cavity and a contrast-enhanced computed tomography (CT) was taken. On day-7 of admission, she bled into the ICD tube; following which a CT angiogram was performed. Give the Diagnosis along with plain radiograph, contrast-enhanced CT and CT angiogram findings.

Answer

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BIR Case of Week Editors
Prof. S. Kalpana, Prof. S. Babupeter, Dr. Iyappan Ponnuswamy