Nontraumatic intrathoracic liver incarceration
Diaphragmatic hernias are a rare finding in adult population, especially in urgent settings. Nevertheless, the acute symptoms can be life-threatening and may require urgent surgical intervention. We report a rare case of a nontraumatic diaphragmatic hernia in a young adult with a history of laparoto...
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324010823 |
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| author | Andrius Meskauskas, MD Claire Goumard, MD, PhD |
| author_facet | Andrius Meskauskas, MD Claire Goumard, MD, PhD |
| author_sort | Andrius Meskauskas, MD |
| collection | DOAJ |
| description | Diaphragmatic hernias are a rare finding in adult population, especially in urgent settings. Nevertheless, the acute symptoms can be life-threatening and may require urgent surgical intervention. We report a rare case of a nontraumatic diaphragmatic hernia in a young adult with a history of laparotomy at the age of 1, suggesting a pre-existing malformation. The clinical presentation was dominated by respiratory symptoms and biological signs of hepatic ischemia, with no abdominal pain. Computed tomography demonstrated protrusion of the entire liver into the thoracic cavity. In this context, an emergency laparotomy was performed. The liver was reintroduced to the abdominal cavity, and the diaphragmatic defect repaired using a synthetic mesh, resulting in resolution of symptoms and a smooth postoperative recovery. Our case highlights the need for efficient diagnosis of the diaphragmatic hernias in adults, even without the context of trauma. A prompt and adequate repair of the defect, usually interposing a synthetic mesh, allows for complete and relatively fast recovery. |
| format | Article |
| id | doaj-art-e1b954ae9f8a45c98ddf3284c994baea |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e1b954ae9f8a45c98ddf3284c994baea2025-08-20T01:54:15ZengElsevierRadiology Case Reports1930-04332025-01-0120121522010.1016/j.radcr.2024.09.130Nontraumatic intrathoracic liver incarcerationAndrius Meskauskas, MD0Claire Goumard, MD, PhD1Corresponding author.; Department of Hepatobiliary Surgery and Liver Transplantation, Sorbonne Université, Hôpital Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Paris, FranceDepartment of Hepatobiliary Surgery and Liver Transplantation, Sorbonne Université, Hôpital Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Paris, FranceDiaphragmatic hernias are a rare finding in adult population, especially in urgent settings. Nevertheless, the acute symptoms can be life-threatening and may require urgent surgical intervention. We report a rare case of a nontraumatic diaphragmatic hernia in a young adult with a history of laparotomy at the age of 1, suggesting a pre-existing malformation. The clinical presentation was dominated by respiratory symptoms and biological signs of hepatic ischemia, with no abdominal pain. Computed tomography demonstrated protrusion of the entire liver into the thoracic cavity. In this context, an emergency laparotomy was performed. The liver was reintroduced to the abdominal cavity, and the diaphragmatic defect repaired using a synthetic mesh, resulting in resolution of symptoms and a smooth postoperative recovery. Our case highlights the need for efficient diagnosis of the diaphragmatic hernias in adults, even without the context of trauma. A prompt and adequate repair of the defect, usually interposing a synthetic mesh, allows for complete and relatively fast recovery.http://www.sciencedirect.com/science/article/pii/S1930043324010823Diaphragmatic herniaEmergency surgeryPrenatal screeningMalformationsPediatric surgery |
| spellingShingle | Andrius Meskauskas, MD Claire Goumard, MD, PhD Nontraumatic intrathoracic liver incarceration Radiology Case Reports Diaphragmatic hernia Emergency surgery Prenatal screening Malformations Pediatric surgery |
| title | Nontraumatic intrathoracic liver incarceration |
| title_full | Nontraumatic intrathoracic liver incarceration |
| title_fullStr | Nontraumatic intrathoracic liver incarceration |
| title_full_unstemmed | Nontraumatic intrathoracic liver incarceration |
| title_short | Nontraumatic intrathoracic liver incarceration |
| title_sort | nontraumatic intrathoracic liver incarceration |
| topic | Diaphragmatic hernia Emergency surgery Prenatal screening Malformations Pediatric surgery |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324010823 |
| work_keys_str_mv | AT andriusmeskauskasmd nontraumaticintrathoracicliverincarceration AT clairegoumardmdphd nontraumaticintrathoracicliverincarceration |