Massive right intrathoracic liver herniation four years after traumatic diaphragmatic rupture

Vasileios Leivaditis; Athanasios Papatriantafyllou; Benjamin Ehle; Michail Galanis; Efstratios Koletsis; Francesk Mulita; Manfred Dahm; Vasileios Lozos; Konstantinos Grapatsas

doi:10.5339/jemtac.2024.7

ISSN: 1999-7086
EISSN: 1999-7094

oa Massive right intrathoracic liver herniation four years after traumatic diaphragmatic rupture
Authors: Vasileios Leivaditis¹, Athanasios Papatriantafyllou¹, Benjamin Ehle², Michail Galanis³, Efstratios Koletsis⁴, Francesk Mulita⁵, Manfred Dahm¹, Vasileios Lozos⁶ and Konstantinos Grapatsas⁷
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Affiliations: ¹ Department of Cardiothoracic and Vascular Surgery, WestpfalzKlinikum, Kaiserslautern, Germany ² Department of Thoracic Surgery, Asklepios Lung Clinic Munich-Gauting, Gauting, Germany ³ Department of Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland ⁴ Department of Cardiothoracic Surgery, Patras University Hospital, Patras, Greece ⁵ Department of General Surgery, Patras University Hospital, Patras, Greece ⁶ Department of Cardiac Surgery, Ippokrateion Hospital, Athens, Greece ⁷ Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany

*Correspondence: Francesk Mulita [email protected]
Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2024, Issue 3, Feb 2024, 7
DOI: https://doi.org/10.5339/jemtac.2024.7
- Received: 26 January 2024
- Accepted: 27 May 2024
- Published online: 29 February 2024

Abstract

Diaphragmatic hernias following severe thoracoabdominal injuries are infrequent clinical occurrences, and right-sided post-traumatic hernias are particularly rare due to the protective barrier provided by the liver. The overall incidence of diaphragmatic rupture following trauma is approximately 1.3%, with only 20% of these cases identified on the right side. This report aims to present the case of a patient diagnosed with a substantial intrathoracic liver hernia 4 years after a traumatic incident. Surgical intervention successfully corrected the diaphragmatic defect, and the patient’s postoperative course was uneventful. A 2-month follow-up revealed no signs of recurrence, underscoring the effectiveness of the surgical approach in managing this unusual presentation of diaphragmatic hernia.

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2024-02-29

2025-01-02

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Massive right intrathoracic liver herniation four years after traumatic diaphragmatic rupture

Journal of Emergency Medicine, Trauma and Acute Care 2024, 7 (2024); https://doi.org/10.5339/jemtac.2024.7

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Keyword(s): diaphragmatic hernia, diaphragmatic rupture, liver herniation, thoracoabdominal injury and thoracoabdominal trauma

oa Massive right intrathoracic liver herniation four years after traumatic diaphragmatic rupture

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