Sato Fumiya, Maeda Takuya, Hirayama Taichi, Minoura Rie, Takashima Mikinori, Fujita Keizo, Tanaka Kenshiro, Sueoka Satoshi, Murai Toshifumi, Sakai Mitsuru, Hashimoto Syoji, Usami Noriyasu
Department of Surgery, Ichinomiya Municipal Hospital, Ichinomiya, Japan.
Kyobu Geka. 2020 Mar;73(3):236-239.
Liver herniation is rare and sometimes difficult to differentiate from pleural or diaphragmatic tumor. A 64-year-old woman was admitted due to a mass-like shadow in the right lower lung field. Computed tomography, coronal view, showed a well-defined mass forming an acute angle with the right diaphragm, mimicking pleural tumor. Video-assisted thoracic surgery was performed, revealing herniated liver through one of the multiple diaphragmatic defects, which was repositioned into the abdominal cavity, and the diaphragmatic defect was repaired. The patient recovered well and was discharged on postoperative day 5.
