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KMID : 0882420140870030343
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Korean Journal of Medicine
2014 Volume.87 No. 3 p.343 ~ p.346
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A Case of Diaphragmatic Hernia Mimicking Acute Pleural Effusion
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Park Ji-Seon
Lee Kyung-Hee
Kim Young-Sam
Cho Jae-Hwa
Kwak Seung-Min
Ryu Jeong-Seon
Nam Hae-Sung
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Abstract
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Diaphragmatic hernia may be either congenital or acquired. Acquired cases may be secondary to trauma, infection, pregnancy, or surgery. In adults, diaphragmatic hernia causes chronic and variable symptoms such as abdominal discomfort, dyspepsia, and chronic dyspnea; in infants, however, it frequently causes acute respiratory failure. We report herein a case of diaphragmatic hernia in an adult patient who presented with left chest pain. Left pleural effusion was revealed on a plain chest radiograph. Computed tomography confirmed the presence of a diaphragmatic defect and a shift of the omentum to the thoracic cavity. The patient underwent omental resection and primary repair of the diaphragmatic muscle defect via exploratory thoracotomy.
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KEYWORD
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Diaphragmatic hernia, Pleural effusion, Chest pain, Computed tomography
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