Non-traumatic diaphragmatic hernia of the liver in an adult: a case report.

Hepatobiliary Pancreat Dis Int

Department of General Surgery, First Affiliated Hospital, Dalian Medical University, Dalian, China.

Published: April 2007

Background: Diaphragmatic hernia of the liver is a rare clinical entity, usually found after trauma in adults. This study was undertaken to elucidate a misdiagnosis of non-traumatic diaphragmatic hernia of the liver in an adult.

Method: The clinical data of one patient with non-traumatic diaphragmatic hernia of the liver was analyzed.

Results: A tumor in the right lower thorax was revealed by chest X-ray and computed tomography. Non-traumatic diaphragmatic hernia of the liver was not identified until the operation. Pathological analysis confirmed the finding. The patient recovered well.

Conclusions: Non-traumatic diaphragmatic hernia of the liver in an adult is a rare right-sided diaphragmatic hernia, which can move up into the chest cavity. It should be distinguished from lung cancer. The diagnosis and evaluation of non-traumatic diaphragmatic hernia of the liver can help optimize surgical management.

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