Tuberc Respir Dis > Volume 68(5); 2010 > Article
Tuberculosis and Respiratory Diseases 2010;68(5):298-300.
DOI:    Published online May 1, 2010.
Diaphragmatic Hernia of the Right Hepatic Lobe Mistaken for Diaphragmatic Paralysis in Adult.
Jung Hyun Park, Ki Eun Hwang, So Young Kim, Hak Ryul Kim, Sei Hoon Yang, Hwi Jung Kim, Eun Taik Jeong
1Department of Internal Medicine, Namyangju Hanyang Hospital, Namyangju, Korea.
2Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
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.
Key Words: Hernia, Diaphragm, Liver
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