Pseudomass of the liver due to pleural effusion and inversion of the diaphragm

Katzen, BT; Choi, WS; Friedman, M M; Green, IJ; Hindle, WV; Zellis, A

doi:10.2214/ajr.131.6.1077

Cited by 13 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In- version of the left hemidaphragm has been reported with pleural effusion, tension pneumothorax, neoplasia invading the diaphragm, and pericardial disease, particularly pericardial cyst or effusion [4]. It is less common on the right side because of the protective effect of the liver [1].…”

Section: Discussionmentioning

confidence: 99%

Pseudomass of the left upper quadrant from inversion of the left hemidiaphragm: CT diagnosis

Dallemand

Twersky

Gordon

1982

Gastrointest Radiol

View full text Add to dashboard Cite

Two cases of inversion of the left hemidiaphragm due to a large pleural effusion and presenting with dysphagia were diagnosed by computed tomographic (CT) scanning. The relationship of the dysphagia to the diaphragmatic inversion, a differential Address reprint requests to." of the causes of this entity, and the role of CT in its diagnosis are discussed.The clinical and radiological findings of a large pleural effusion have been well described in the literature. Fig. 1. A A large left pleural effusion and metastatic nodules in the right lung are seen on chest X-ray. B The stomach is displaced inferomedially by a left upper quadrant mass

show abstract

Section: Discussionmentioning

confidence: 99%

Pseudomass of the left upper quadrant from inversion of the left hemidiaphragm: CT diagnosis

Dallemand

Twersky

Gordon

1982

Gastrointest Radiol

View full text Add to dashboard Cite

show abstract

“…La inversión de un hemidiafragma puede estar provocada por un neumotórax a tensión, tumor del propio diafragma, masas intratorácicas o derrame pericárdico, pero la causa más habitual es el DP grande de cualquier etiología (20)(21)(22)(23). Es menos frecuente en el lado derecho por el efecto protector del hígado (24), aunque también se han descrito casos de inversión del hemidiafragma derecho (25). Puede originar disnea, generalmente intensa, una masa abdominal palpable, dolor, distensión abdominal y disfagia si es en el lado izquierdo.…”

Section: Diafragmaunclassified

Consecuencias del derrame pleural

Ruiz¹,

Ahijado²,

Sanchez³

et al. 2006

An. Med. Interna (Madrid)

View full text Add to dashboard Cite

Pleural effusion (PE) can change the equilibrium between volume of thoracic cavity and volume of intrathoracic structures, and it can disturb the function of respiratory system, heart, and diaphragm. PE alters scanty the pulmonary gas exchange, but it provokes restrictive changes in pulmonary function proportionally to fluid volume, increase thoracic diameters, and decrease lung compliance. PE can originate a syndrome similar to cardiac tamponade. Elevate intrapleural pressure increase intrapericardic pressure and this disturb the cardiac chambers filling, specially right chambers, and decrease cardiac output. Large PE can invert the diaphragm inducing paradoxical movement that origin a reduction of alveolar ventilation. All these alterations improve with drainage of the PE. We think that PE must always be drained, specially if respiratory failure is present.

show abstract

“…This was confirmed on chest X ray by instilling water-soluble contrast medium into the pleural space after the removal of some fluid. Cunningham (1978), in a discussion of grey scale echography of the lung and pleural space, demonstrated, among other examples of pleural effusion, a scan of the chest of a woman with carcinoma of the breast in whom the hemidiaphragm was inverted in the presence of a massive right pleural effusion, and Katzen et al (1978) illustrated in a case report the time consuming diagnostic problem that can be caused if this possibility is not appreciated.…”

Section: Casementioning

confidence: 99%