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 language | English |
|---|---|
| Pages (from-to) | 5649-5652 |
| Number of pages | 4 |
| Journal | World Journal of Gastroenterology |
| Volume | 18 |
| Issue number | 39 |
| DOIs | |
| Publication status | Published - 2012 Dec 1 |
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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 journal › Article
}
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
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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 -