21 May 2009
Herniation of liver through a ruptured right diaphragm following blunt trauma
Farhad Anoosh, Raza Shariff, Kalyana Nandipati, Rosalind Mariano, Gary Lumbardo, James W. TurnerAm J Case Rep 2009; 10:66-68 :: ID: 869654
Abstract
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.
Keywords: Hernia, Diaphragmatic, Traumatic - surgery, liver herniation, truama
466 0
In Press
25 May 2023 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.939239
24 May 2023 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.939520
24 May 2023 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.939697
23 May 2023 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.939642
Most Viewed Current Articles
06 Dec 2021 : Case report
DOI :10.12659/AJCR.934406
Am J Case Rep 2021; 22:e934406
13 Jul 2022 : Case report
DOI :10.12659/AJCR.936441
Am J Case Rep 2022; 23:e936441
23 Feb 2022 : Case report
DOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250
07 Dec 2021 : Case report
DOI :10.12659/AJCR.934347
Am J Case Rep 2021; 22:e934347