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Related Concept Videos

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Related Experiment Video

Updated: Sep 27, 2025

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Delayed hepatothorax: An unusual presentation case report.

Sergio M Maldonado-Chaar1, Ángel A Miró-González1, Norman Ramírez2

  • 1Ponce Health Sciences University, Ponce, Puerto Rico.

International Journal of Surgery Case Reports
|April 14, 2022
PubMed
Summary

A rare case of delayed hepatothorax, a liver herniation into the chest, occurred 13 years after blunt trauma. This condition presented as isolated gastritis, highlighting the need for high clinical suspicion in trauma patients.

Keywords:
Delayed herniaDiaphragmatic herniaGastritisHepatothoraxTraumatic hernia

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Area of Science:

  • Trauma Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Delayed presentation of traumatic diaphragmatic hernias can occur years after initial injury.
  • Hepatothorax, the herniation of abdominal organs into the thoracic cavity, is a rare complication of diaphragmatic rupture.
  • Patients may present with atypical symptoms, such as isolated gastrointestinal complaints, masking the underlying diaphragmatic injury.

Purpose of the Study:

  • To report a unique case of delayed hepatothorax secondary to a right-sided diaphragmatic rupture 13 years post-trauma.
  • To emphasize the importance of considering diaphragmatic hernias in patients with a history of trauma presenting with unexplained gastrointestinal symptoms.
  • To discuss the diagnostic challenges and management of delayed traumatic diaphragmatic hernias complicated by hepatothorax.

Main Methods:

  • A case report detailing a patient with a 13-year history of blunt abdominal trauma who presented with refractory gastritis.
  • Clinical examination revealed asymmetric thoracic expansion and decreased breath sounds on the right.
  • Diagnostic workup included physical examination findings suggestive of diaphragmatic compromise.

Main Results:

  • The patient presented with isolated gastritis and no respiratory symptoms, despite a significant diaphragmatic rupture.
  • Surgical intervention (thoracotomy) was performed due to the delayed presentation.
  • Post-operative recovery was successful, with complete resolution of gastrointestinal symptoms.

Conclusions:

  • This case highlights a rare instance of delayed hepatothorax presenting solely with gastrointestinal symptoms.
  • Clinicians should maintain a high index of suspicion for delayed traumatic diaphragmatic hernias, especially in patients with a history of trauma.
  • The absence of respiratory symptoms may be attributed to gradual adaptation to reduced respiratory capacity over time.