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Non traumatic liver herniation due to persistent cough mimicking a pulmonary mass
A Pataka1, A Paspala1, E Sourla1
1Department of Respiratory Medicine, Respiratory Failure Unit, G.Papanikolaou Hospital, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Background:
Non traumatic liver herniation through a diaphragmatic defect is rare.
Case Report:
A 44 year old woman presented with lower lobe opacity at the right lung. Chest Computed tomography (CT) demonstrated a round tumor adjacent to the right diaphragm. Percutaneous needle biopsy revealed liver tissue. A small liver herniation through a diaphragmatic defect was detected in saggital and coronal CT views but no traumatic rupture of the diaphragm or endometriosis were documented.
Conclusions:
The patient suffered from gastroesophageal reflux disease and increased transdiaphragmatic pressure from paroxysmal cough due to aspirations may have provoked the diaphragmatic rupture.
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