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Related Experiment Videos

[Right traumatic diaphragmatic hernia: a case report]

J Murakami1, T Hirai, M Kamiyoshihara

  • 1Department of Surgery, National Sanatrium Nishigunma Hospital, Gunma, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 1, 1996
PubMed
Summary
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A man with a past chest injury developed a diaphragmatic hernia, causing abdominal organs like the liver and gallbladder to enter his chest cavity. This rare condition highlights the need for thorough examination of abnormal chest X-ray findings.

Area of Science:

  • Medical Imaging
  • Surgical Pathology
  • Thoracic Surgery

Background:

  • A 39-year-old male presented with asymptomatic abnormal elevation of the right diaphragm on chest X-ray.
  • History of right cordal contusion one and a half years prior, following a fall.

Observation:

  • Chest and abdominal CT scans revealed herniation of omentum, colon, liver, and gallbladder into the right thoracic cavity.
  • Barium examinations confirmed gastro-intestinal tract involvement in the herniation.

Findings:

  • Surgical exploration via a thoracoabdominal approach confirmed diaphragmatic hernia with organ prolapse.
  • Prolapse of the gallbladder into the thoracic cavity was a rare finding in this case.

Implications:

Related Experiment Videos

  • Abnormal diaphragmatic shadows on imaging warrant investigation for diaphragmatic hernia.
  • This case underscores the importance of considering herniation, including rare presentations like gallbladder prolapse, in patients with relevant trauma history.