A Case of Diaphragmatic Hernia Mimicking Acute Pleural Effusion.
10.3904/kjm.2014.87.3.343
- Author:
Ji Seon PARK
1
;
Kyung Hee LEE
;
Young Sam KIM
;
Jae Hwa CHO
;
Seung Min KWAK
;
Jeong Seon RYU
;
Hae Seong NAM
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. Jaehwa.cho@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Diaphragmatic hernia;
Pleural effusion;
Chest pain;
Computed tomography
- MeSH:
Adult;
Chest Pain;
Dyspepsia;
Dyspnea;
Hernia, Diaphragmatic*;
Humans;
Infant;
Omentum;
Pleural Effusion*;
Pregnancy;
Radiography, Thoracic;
Respiratory Insufficiency;
Thoracic Cavity;
Thoracotomy
- From:Korean Journal of Medicine
2014;87(3):343-346
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
