Unexpectedly Complicative Course of a Rib Series Fracture in Patient with Chilaiditi Syndrome

The cause was a dislocated, fractured rib, which had led to a small defect of the diaphragm (Figure 3) with subsequent injury to the intestinal wall. After colon segment resection with attachment of an anastomosis anus praeters and transabdominal over-stitching of the diaphragmatic defect, thoracotomy was performed with extensive lavage of the right half of the thoracic in fecal pleural empyema. Postoperatively, the patient stabilized under intermittent noninvasive ventilation and daily flushing of the chest drains. In the course of both drains were removed. After almost complete convalescence, however, there was a sudden onset of respiratory insufficiency most likely in fulminant pulmonary artery embolism from which the patient died under resuscitation.