Non traumatic liver herniation due to persistent cough mimicking a pulmonary mass.
作者信息
Pataka A, Paspala A, Sourla E, Bagalas V, Argyropoulou P
机构信息
Department of Respiratory Medicine, Respiratory Failure Unit, G.Papanikolaou Hospital, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
Hippokratia. 2013 Oct;17(4):376-7.
Abstract
BACKGROUND
Non traumatic liver herniation through a diaphragmatic defect is rare.
CASE REPORT
A 44 year old woman presented with lower lobe opacity at the right lung. Chest Computed tomography (CT) demonstrated a round tumor adjacent to the right diaphragm. Percutaneous needle biopsy revealed liver tissue. A small liver herniation through a diaphragmatic defect was detected in saggital and coronal CT views but no traumatic rupture of the diaphragm or endometriosis were documented.
CONCLUSIONS
The patient suffered from gastroesophageal reflux disease and increased transdiaphragmatic pressure from paroxysmal cough due to aspirations may have provoked the diaphragmatic rupture.
摘要
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