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Right-sided posttraumatic diaphragmatic hernia presenting as a coin lesion
Southern Medical Journal
|September 1, 1979
Summary
A rare right-sided diaphragmatic hernia occurred 10 years after chest trauma. A liver segment protruded through a diaphragm tear, initially appearing as a lung base coin lesion.
Area of Science:
- Thoracic surgery
- Trauma surgery
- Gastroenterology
Background:
- Posttraumatic diaphragmatic hernias are uncommon, especially on the right side.
- Delayed presentation of diaphragmatic injuries can mimic other pulmonary or hepatic conditions.
Observation:
- A 51-year-old male presented with a coin lesion at the right lung base.
- The lesion was identified 10 years post-initial closed chest trauma.
Findings:
- Thoracotomy revealed a diaphragmatic tear on the right side.
- A rounded segment of liver tissue was observed protruding through the diaphragmatic defect.
Implications:
- This case highlights the potential for delayed presentation of traumatic diaphragmatic injuries.
- Accurate diagnosis requires high suspicion, especially with a history of chest trauma.
- Surgical repair is necessary to manage diaphragmatic hernias and prevent complications.