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A Rare Complication of Diaphragm Plication: Acute Liver Injury From Hepatic Compartment Syndrome
Michael Chang1, Samantha Menegas1, David Uihwan Lee2
1University of Maryland School of Medicine, Baltimore, MD.
Abstract:
Diaphragm plication is a surgical treatment of unilateral diaphragm paralysis, in which the affected diaphragm is sutured in place. Because the right diaphragm sits on top of the liver, right-sided diaphragm plication can injure the liver and lead to hepatic compartment syndrome resulting in acute liver injury. We report a case of a 59-year-old woman with a history of multilevel disk degeneration and alcohol use disorder who underwent right-sided diaphragm plication. After surgery, she complained of abdominal pain and was found to have severely elevated liver-associated enzymes and evidence of acute liver injury, which resolved with supportive care.
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