ISSN 1941-5923


Get your full text copy in PDF

Herniation of liver through a ruptured right diaphragm following blunt trauma

Farhad Anoosh, Raza Shariff, Kalyana Nandipati, Rosalind Mariano, Gary Lumbardo, James W. Turner

Am J Case Rep 2009; 10:66-68

ID: 869654

Background: Diaphragmatic rupture remains a diagnostic challenge because of the lack of an accurate test demonstrating the injury. Diaphragmatic rupture after thoracoabdominal trauma is uncommon, with a reported incidence ranging from 1% to 3% of patients suffering blunt trauma. Most ruptures are on the left side; with right sided diaphragmatic injury being the subject of a few case reports. Herniation of the liver through a ruptured diaphragm is rarer still.
Case Report: We report a rare case of right sided diaphragmatic rupture with herniation of the liver in a 58 year old polytrauma patient. An initial chest X-ray had only revealed a right hemothorax, which was confirmed on tube thoracostomy. At laparatomy a large tear in the right diaphragm with significant intrathoracic displacement of the liver was encountered. A thoracoabdominal approach was used to reposition the liver and repair the diaphragm.
Conclusions: We discuss the pathophysiology, difficulties associated with diagnosis and treatment options of diaphragmatic injuries.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree