Hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation

Research output: Contribution to journalArticle

7 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)5649-5652
Number of pages4
JournalWorld Journal of Gastroenterology
Volume18
Issue number39
DOIs
Publication statusPublished - 2012 Dec 1

Fingerprint

Duodenal Ulcer
Rupture
Transverse Colon
Omentum
Spontaneous Rupture
Polytetrafluoroethylene
Acute Pain
Gallbladder
Peptic Ulcer
Radiography
Laparotomy
Abdominal Pain
Physical Examination
Thorax
Tomography
Liver
Wounds and Injuries
Therapeutics

Keywords

  • Diaphragmatic rupture
  • Duodenal ulcer perforation
  • Hepatothorax
  • Polytetrafluoroethylene mesh

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation. / Baek, Se-Jin; Kim, Jin; Lee, Sung Ho.

In: World Journal of Gastroenterology, Vol. 18, No. 39, 01.12.2012, p. 5649-5652.

Research output: Contribution to journalArticle

@article{d74a0fc0dc054b91830d797a3be51312,
title = "Hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation",
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.",
keywords = "Diaphragmatic rupture, Duodenal ulcer perforation, Hepatothorax, Polytetrafluoroethylene mesh",
author = "Se-Jin Baek and Jin Kim and Lee, {Sung Ho}",
year = "2012",
month = "12",
day = "1",
doi = "10.3748/wjg.v18.i39.5649",
language = "English",
volume = "18",
pages = "5649--5652",
journal = "World Journal of Gastroenterology",
issn = "1007-9327",
publisher = "WJG Press",
number = "39",

}

TY - JOUR

T1 - Hepatothorax due to a right diaphragmatic rupture related to duodenal ulcer perforation

AU - Baek, Se-Jin

AU - Kim, Jin

AU - Lee, Sung Ho

PY - 2012/12/1

Y1 - 2012/12/1

N2 - 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.

AB - 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.

KW - Diaphragmatic rupture

KW - Duodenal ulcer perforation

KW - Hepatothorax

KW - Polytetrafluoroethylene mesh

UR - http://www.scopus.com/inward/record.url?scp=84873888510&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84873888510&partnerID=8YFLogxK

U2 - 10.3748/wjg.v18.i39.5649

DO - 10.3748/wjg.v18.i39.5649

M3 - Article

C2 - 23112562

AN - SCOPUS:84873888510

VL - 18

SP - 5649

EP - 5652

JO - World Journal of Gastroenterology

JF - World Journal of Gastroenterology

SN - 1007-9327

IS - 39

ER -