Herniation of liver through a ruptured right diaphragm following blunt trauma

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

Research output: Contribution to journalArticle

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 confi rmed on tube thoracostomy. At laparatomy a large tear in the right diaphragm with signifi - cant 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, diffi culties associated with diagnosis and treatment options of diaphragmatic injuries.

Original languageEnglish (US)
Pages (from-to)66-68
Number of pages3
JournalAmerican Journal of Case Reports
Volume10
StatePublished - Dec 1 2009
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Anoosh, F., Shariff, R., Nandipati, K., Mariano, R., Lombardo, G., & Turner, J. W. (2009). Herniation of liver through a ruptured right diaphragm following blunt trauma. American Journal of Case Reports, 10, 66-68.