Hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation
- Authors
- Baek, Se-Jin; Kim, Jin; Lee, Sung-Ho
- Issue Date
- 21-10월-2012
- Publisher
- BAISHIDENG PUBL GRP CO LTD
- Keywords
- Diaphragmatic rupture; Hepatothorax; Duodenal ulcer perforation; Polytetrafluoroethylene mesh
- Citation
- WORLD JOURNAL OF GASTROENTEROLOGY, v.18, no.39, pp.5649 - 5652
- Indexed
- SCIE
SCOPUS
- Journal Title
- WORLD JOURNAL OF GASTROENTEROLOGY
- Volume
- 18
- Number
- 39
- Start Page
- 5649
- End Page
- 5652
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/107203
- DOI
- 10.3748/wjg.v18.i39.5649
- ISSN
- 1007-9327
- Abstract
- Here, we present the case of a 53-year-old man with a hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation. On admission, the patient complained of severe acute abdominal pain, with physical examination findings suspicious for a perforated peptic ulcer. Of note, the patient had no history of other medical conditions or recent trauma, and the initial chest radiography and laboratory findings were not specific. A subsequent abdominal computed tomography revealed intrathoracic displacement of the liver, gallbladder, transverse colon and omentum through a right diaphragmatic defect. The patient then underwent an explorative laparotomy that confirmed duodenal ulcer perforation. A primary repair of the duodenal perforation was performed, and the diaphragmatic defect was repaired using a polytetrafluoroethylene patch after the organs were reduced and the cavity irrigated. This particular case proves interesting as right-sided spontaneous diaphragmatic ruptures are very rare and difficult to diagnose. Additionally, the best treatment for such large diaphragmatic defects is still controversial, especially in cases of intrathoracic or intra-abdominal contamination. (C) 2012 Baishideng. All rights reserved.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.