Partial liver herniation into the right chest following trauma: A delayed presentation as acute injury managed by laparoscopically assisted mini-thoracotomy

C. Diven, Rifat - Latifi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Traumatic diaphragmatic rupture is a relatively uncommon occurrence, with an incidence of 0.8-5% reported in the literature. The reported percentage of missed diaphragmatic injuries that were discovered later ranges from 12 to 66%. Herniation of the liver through the right diaphragm has been reported in the literature after liver transplantation, and in trauma populations. Materials and methods: Here, we report a case of late identification of partial liver herniation into the right chest (8 years post initial injury), due to a recent motor vehicle crash. Thought to be suffering from an acute injury, the patient was taken to the operating room and a laparoscopically assisted mini-thoracotomy was performed. An old diaphragmatic injury was found intraoperatively; laparoscopically assisted mini-thoracotomy was used to repair the diaphragm, and the liver was returned into the abdomen. Conclusion: Right-sided diaphragmatic laceration, if diagnosed at the time of injury, may be repaired with the minimally invasive technique we describe here.

Original languageEnglish (US)
Pages (from-to)665-668
Number of pages4
JournalEuropean Journal of Trauma and Emergency Surgery
Volume37
Issue number6
DOIs
StatePublished - Dec 2011

Fingerprint

Thoracotomy
Thorax
Liver
Wounds and Injuries
Diaphragm
Lacerations
Motor Vehicles
Operating Rooms
Liver Transplantation
Abdomen
Rupture
Incidence
Population

Keywords

  • Delayed presentation
  • Diaphragmatic injury
  • Laparoscopic assisted mini-thoracotomy
  • Laparoscopic repair

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

Cite this

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title = "Partial liver herniation into the right chest following trauma: A delayed presentation as acute injury managed by laparoscopically assisted mini-thoracotomy",
abstract = "Introduction: Traumatic diaphragmatic rupture is a relatively uncommon occurrence, with an incidence of 0.8-5{\%} reported in the literature. The reported percentage of missed diaphragmatic injuries that were discovered later ranges from 12 to 66{\%}. Herniation of the liver through the right diaphragm has been reported in the literature after liver transplantation, and in trauma populations. Materials and methods: Here, we report a case of late identification of partial liver herniation into the right chest (8 years post initial injury), due to a recent motor vehicle crash. Thought to be suffering from an acute injury, the patient was taken to the operating room and a laparoscopically assisted mini-thoracotomy was performed. An old diaphragmatic injury was found intraoperatively; laparoscopically assisted mini-thoracotomy was used to repair the diaphragm, and the liver was returned into the abdomen. Conclusion: Right-sided diaphragmatic laceration, if diagnosed at the time of injury, may be repaired with the minimally invasive technique we describe here.",
keywords = "Delayed presentation, Diaphragmatic injury, Laparoscopic assisted mini-thoracotomy, Laparoscopic repair",
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T1 - Partial liver herniation into the right chest following trauma

T2 - A delayed presentation as acute injury managed by laparoscopically assisted mini-thoracotomy

AU - Diven, C.

AU - Latifi, Rifat -

PY - 2011/12

Y1 - 2011/12

N2 - Introduction: Traumatic diaphragmatic rupture is a relatively uncommon occurrence, with an incidence of 0.8-5% reported in the literature. The reported percentage of missed diaphragmatic injuries that were discovered later ranges from 12 to 66%. Herniation of the liver through the right diaphragm has been reported in the literature after liver transplantation, and in trauma populations. Materials and methods: Here, we report a case of late identification of partial liver herniation into the right chest (8 years post initial injury), due to a recent motor vehicle crash. Thought to be suffering from an acute injury, the patient was taken to the operating room and a laparoscopically assisted mini-thoracotomy was performed. An old diaphragmatic injury was found intraoperatively; laparoscopically assisted mini-thoracotomy was used to repair the diaphragm, and the liver was returned into the abdomen. Conclusion: Right-sided diaphragmatic laceration, if diagnosed at the time of injury, may be repaired with the minimally invasive technique we describe here.

AB - Introduction: Traumatic diaphragmatic rupture is a relatively uncommon occurrence, with an incidence of 0.8-5% reported in the literature. The reported percentage of missed diaphragmatic injuries that were discovered later ranges from 12 to 66%. Herniation of the liver through the right diaphragm has been reported in the literature after liver transplantation, and in trauma populations. Materials and methods: Here, we report a case of late identification of partial liver herniation into the right chest (8 years post initial injury), due to a recent motor vehicle crash. Thought to be suffering from an acute injury, the patient was taken to the operating room and a laparoscopically assisted mini-thoracotomy was performed. An old diaphragmatic injury was found intraoperatively; laparoscopically assisted mini-thoracotomy was used to repair the diaphragm, and the liver was returned into the abdomen. Conclusion: Right-sided diaphragmatic laceration, if diagnosed at the time of injury, may be repaired with the minimally invasive technique we describe here.

KW - Delayed presentation

KW - Diaphragmatic injury

KW - Laparoscopic assisted mini-thoracotomy

KW - Laparoscopic repair

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