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Case Studies | Medicine Science | India | Volume 3 Issue 6, June 2014

Rare Case of Liver -Gall Badder Herniation - Post Traumatic Diaphragmatic Hernia

Shah Harshil M. | Chauhan Vineet F. | Chauhan Anuya V.

Abstract: Post-traumatic diaphragmatic hernia in adults is usually caused by blunt trauma and may remain asymptomatic and undiagnosed for many years. Right-sided tears are significantly less likely than left-sided tears because of the protective effect of the liver however if they occur; they are associated with high mortality and morbidity. The rupture of the right side of the diaphragm and the presence of a gallbladder in the thoracic cavity are rare. It should be suspected in symptomatic patients and/or with unusual shadows in the thoracic region after recently sustained injury or with a history of injury. We report a case of 55 year old female asymptomatic patient with post traumatic rupture on the right side of her diaphragm and herniation of her liver and gallbladder into the thorax. Diagnosis was made with abdominal thoracic CT scan and definitive management required surgery through trans abdominal route. Reduction of herniating liver and gall bladder into abdominal cavity and repair of defect with synthetic non absorbable sutures and reinforced with non absorbable mesh.

Keywords: Blunt chest trauma, Right diaphragmatic hernia, liver -gall bladder herniation

Edition: Volume 3 Issue 6, June 2014,

Pages: 1835 - 1838