Journal of Emergencies, Trauma and Shock (Jan 2010)
Blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver
Abstract
Acute right hemidiaphragm rupture with abdominal visceral herniation is reportedly less common than on the left. We present a complex case of blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver in a multiply injured patient. The diagnostic approach, with specific reference to the imaging studies, and surgical management is discussed, followed by a brief literature review highlighting the complexities of the case.