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 language | English |
|---|---|
| Pages (from-to) | 66-68 |
| Number of pages | 3 |
| Journal | American Journal of Case Reports |
| Volume | 10 |
| State | Published - 2009 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
Cite this
Herniation of liver through a ruptured right diaphragm following blunt trauma. / Anoosh, Farhad; Shariff, Raza; Nandipati, Kalyana C.; Mariano, Rosalind; Lombardo, Gary; Turner, James W.
In: American Journal of Case Reports, Vol. 10, 2009, p. 66-68.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Herniation of liver through a ruptured right diaphragm following blunt trauma
AU - Anoosh, Farhad
AU - Shariff, Raza
AU - Nandipati, Kalyana C.
AU - Mariano, Rosalind
AU - Lombardo, Gary
AU - Turner, James W.
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
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M3 - Article
VL - 10
SP - 66
EP - 68
JO - American Journal of Case Reports
JF - American Journal of Case Reports
SN - 1941-5923
ER -