Dislocation of three segments of the liver due to hernia of the right diaphragm

Peker, Yusuf; Tatar, Fatma; Kahya, Mumtaz; Cin, Necat; Derıcı, Hayrullah; Reyhan, Enver

doi:10.1007/s10029-006-0138-7

Cited by 19 publications

(21 citation statements)

References 14 publications

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“…But to our knowledge, very few reports to date describe laparoscopic repair of posttraumatic herniation of the liver other than bowel loops [18]. In fact, there is a paucity of reports on posttraumatic repair of the diaphragm with liver herniation, and these repairs are performed via either laparotomy or thoracotomy [19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Fiscon¹,

Portale²,

Migliorini³

et al. 2011

Surg Endosc

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Right diaphragmatic hernia after abdominal trauma is a rare injury. Most patients can be asymptomatic, and the diagnosis may be delayed for several years. The treatment of choice involves surgical repair via laparotomy. The authors treated a young patient with transdiaphragmatic herniation of the right hepatic lobe and delayed diagnosis using a laparoscopic approach and accomplished a successful complete repair. The 6-month radiologic follow-up assessment confirmed good results.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Fiscon¹,

Portale²,

Migliorini³

et al. 2011

Surg Endosc

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“…The likelihood of occurrence of diaphragmatic hernia may be ~5% following high impact trauma [3]. Left hemidiphragmatic hernia is more common because liver exerts a protective function against the herniation of the viscera [1]. …”

Section: Discussionmentioning

confidence: 99%

“…The abdominal organ herniation trough the right diaphragm is even rarer due to the liver protective function [1]. …”

Section: Introductionmentioning

confidence: 99%

Right post-traumatic diaphragmatic hernia with liver and intestinal dislocation

Sala

Bonaldi

Mariani

et al. 2017

Journal of Surgical Case Reports

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Right diaphragmatic hernia is an uncommon injury following abdominal trauma. A case of delayed right post-traumatic diaphragmatic hernia is presented. The patient referred us with wheezing and cough since 1 month. A chest-abdominal computed tomography scan demonstrated a large diaphragmatic defect with liver and intestinal dislocation. The patient underwent surgical intervention with diaphragmatic repair. No complications were observed during admission and follow-up is actually negative for recurrence.

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“…The diagnosis may be delayed and only determined years after the traumatic event. 4 Considering the type of the traumatic event, it usually may be associated with other abdominal, pelvic, thoracic, and limb injuries. 5,6 Herniation of abdominal organs into the chest cavity may cause damage and changes in herniated organ function; induce cardiocirculatory symptoms, such as arrhythmias; and respiratory system involvement, as in our patient.…”

Section: Discussionmentioning

confidence: 99%

Chronic hepatothorax due to right diaphragmatic rupture: an anesthetic challenge in a rare case

Lugarinho-Monteiro

Pereira

Seco

2018

Brazilian Journal of Anesthesiology (English Edition)

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Background: Diaphragmatic rupture is an uncommon condition, with 90% of ruptures occurring on the left side. However, its incidence on the right side is increasing along with the increase in traffic accidents. Liver herniation may become progressive causing severe atelectasis of the right lung, resulting in impaired respiratory status and hemodynamic changes. Case report: We report the case of a 40 years old female, ASA III, scheduled for hepatothorax repair that evolved from right diaphragmatic hernia after a car accident when she was 8 years old. Clinically, she had severe restrictive respiratory syndrome caused by the hepatothorax. The anesthetic evaluation was normal, except for the chest X-ray showing elevation of the dome of the right hemidiaphragm without tracheal deviation. Diagnosis was confirmed by CT scan. After liver replacement in the abdominal cavity, a transient increase in central venous pressure, stroke volume index and flow time corrected (35%), and a decrease in systemic vascular resistance were observed. After complete hemodynamic and hepatosplenic stabilization, as well as ventilation, the patient was transferred intubated, under controlled ventilation and monitored, to the liver transplant unit. Conclusions: Hepatothorax is a rare condition and its repair may represent an anesthetic challenge. After liver replacement in the abdominal cavity during corrective surgery under general anesthesia complications may occur, particularly associated with pulmonary re-expansion. Effective teamwork and careful planning of surgery, between the surgical and anesthetic teams, are the key to success. Chronic hepatothorax due to right diaphragmatic rupture: an anesthetic challenge in a rare case 191 PALAVRAS-CHAVEHepatotórax; Anestesia; Lesão diafragmática Hepatotórax crônico devido à ruptura do diafragma direito: um desafio anestésico em um caso raro Resumo Justificativa: A ruptura diafragmática é uma condição incomum e ocorre em 90% no lado esquerdo. No entanto, a incidência de ruptura à direita tem vindo a aumentar junto com o aumento dos acidentes automobilísticos. A herniação do fígado pode tornar-se progressiva, causar atelectasia grave do pulmão direito, resultar num débil estado respiratório e alterações hemodinâmicas. Relato de caso: Mulher de 40 anos, estado físico ASA 3, marcada para reparação de hepatotórax que evoluiu de hérnia diafragmática direita, adquirida aos 8 anos, após um acidente automobilístico. Clinicamente apresentava síndrome respiratória restritiva grave, causada pelo hepatotórax. A avaliação anestésica era normal, com exceção da radiografia do tórax, que evidenciava elevação da hemicúpula diafragmática direita, sem desvio traqueal. Diagnóstico foi confirmado por tomografia computadorizada. Depois da recolocação do fígado na cavidade abdominal foram observados um aumento transitório da pressão venosa central, do Stroke Volume Index e Flow Time Corrected (35%) e uma diminuição da resistência vascular sistêmica. Uma vez alcançada a estabilização hemodinâmica geral e hepatoesp...

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Dislocation of three segments of the liver due to hernia of the right diaphragm

Cited by 19 publications

References 14 publications

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Right post-traumatic diaphragmatic hernia with liver and intestinal dislocation

Chronic hepatothorax due to right diaphragmatic rupture: an anesthetic challenge in a rare case

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