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KMID : 0383820100680050298
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Tuberculosis and Respiratory Diseases
2010 Volume.68 No. 5 p.298 ~ p.300
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Diaphragmatic Hernia of the Right Hepatic Lobe Mistaken for Diaphragmatic Paralysis in Adult
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Park Jung-Hyun
Hwang Jong-Yun
Kim So-Young
Kim Hak-Ryul
Yang Sei-Hoon
Kim Hui-Jung
Jeong Eun-Taik
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Abstract
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Diaphragmatic paralysis can be demonstrated through diaphragmatic elevation on chest X-ray after thoracic lung surgery or the placement of chest tubing. Additional causes of diaphragmatic paralysis are iatrogenic, mass, atelectasis, etc. For the diagnosis of diaphragmatic paralysis, it required some studies (fluoroscopy, computed tomography [CT], magnetic resonance imaging). Diaphragmatic hernia of the liver is a rare clinical entity, usually found after trauma in adults. Congenital diaphragmatic hernia in neonates requires surgery. Non-traumatic diaphragmatic hernia of the liver in an adult is a rare right-sided diaphragmatic hernia. On developing any symptoms, surgery must be performed. When diaphragmatic hernia is incidentally found in adults without trauma, it is placed under observation for a time period. We diagnosed the diaphragmatic herniation of a right hepatic lobe by 16-slice CT scan without surgery.
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KEYWORD
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Hernia, Diaphragm, Liver
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