Tuberc Respir Dis.  2010 May;68(5):298-300.

Diaphragmatic Hernia of the Right Hepatic Lobe Mistaken for Diaphragmatic Paralysis in Adult

• Park JH
• Hwang KE
• Kim SY
• Kim HR
• Yang SH
• Kim HJ
• Jeong ET

Abstract

Diaphragmatic paralysis can be demonstrated through diaphragmatic elevation on chest X-ray after thoracic lung surgery or the placement of chest tubing. Additional causes of diaphragmatic paralysis are iatrogenic, mass, atelectasis, etc. For the diagnosis of diaphragmatic paralysis, it required some studies (fluoroscopy, computed tomography [CT], magnetic resonance imaging). Diaphragmatic hernia of the liver is a rare clinical entity, usually found after trauma in adults. Congenital diaphragmatic hernia in neonates requires surgery. Non-traumatic diaphragmatic hernia of the liver in an adult is a rare right-sided diaphragmatic hernia. On developing any symptoms, surgery must be performed. When diaphragmatic hernia is incidentally found in adults without trauma, it is placed under observation for a time period. We diagnosed the diaphragmatic herniation of a right hepatic lobe by 16-slice CT scan without surgery.

Keyword

Hernia; Diaphragm; Liver

MeSH Terms

Adult
Diaphragm
Hernia
Hernia, Diaphragmatic
Humans
Infant, Newborn
Liver
Lung
Magnetic Resonance Spectroscopy
Pulmonary Atelectasis
Respiratory Paralysis
Thorax
Hernia, Diaphragmatic

Figure

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  Figure 1 Right diaphragm elevation on Chest X-ray. (A) 5 years ago. (B) Full inspiration at admission. (C) Full expiration at admission.

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  Figure 2 Right diaphragmatic herniation of liver (Bifid liver) on abdomino-pelvic CT. Rt: right; Lt: left.

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