Case Report
 
Diaphragmatic hernia following a liver resection: A rare cause of bowel obstruction
Nordjoe Yaotse Elikplim1, Outznit Mustapha1, Laamrani Fatima Zahra1, Jroundi Laila1
1Emergency Radiology Department, Centre Hospitalo-Universiataire Ibn Sina, Rabat, Morocco

Article ID: 100915Z01NE2018
doi: 10.5348/100915Z01NE2018CR

Corresponding Author:
Nordjoe Yaotse Elikplim,
1471 Hay Al Maghrib Al ArabiMassira II Etg03 Appt03 12000 Temara,
Morocco

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in PubMed] [Similar article in Google Scholar]



How to cite this article
Elikplim NY, Mustapha O, Zahra LF, Laila J. Diaphragmatic hernia following a liver resection: A rare cause of bowel obstruction. Int J Case Rep Images 2018;9:100915Z01NE2018.


ABSTRACT

Introduction: Delayed presentation of an iatrogenic diaphragmatic injury is rare. We report the case of a diaphragmatic hernia associated with a bowel obstruction occurring as a delayed complication of a right liver resection. This report emphasizes the rareness of such surgical outcome and the main CT-scan features of a diaphragmatic rent are discussed along with it.

Case Report: A 30-year-old female was admitted to our emergency department with a clinical acute bowel obstruction syndrome. A chest and abdomen CT-scan revealed an ascent and strangulation by the entanglement of some jejunal loops through a right diaphragmatic hernia. A compression of the lung and the mediastinum were also observed. The patient was admitted to surgery. The non-viable ischemic loops were cut off, and the diaphragmatic defect is repaired after the reintegration of the abdominal structures and patient recovered uneventfully.

Conclusion: Acquired diaphragmatic hernias are very rarely present on the right side. The CT scan findings suggestive of a diaphragmatic rent are highlighted and they should be carefully looked out for by the radiologist.

Keywords: Diaphragmatic hernia, Liver surgery


[HTML Full Text]   [PDF Full Text]

Acknowledgements
This case report is not supported by any grants.
Author Contributions
Nordjoe Yaotse Elikplim – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Outznit Mustapha – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Laamrani Fatima Zahra – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jroundi Laila – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Nordjoe Yaotse Elikplim et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.