Blunt traumatic rupture of the right hemidiaphragm and Budd-Chiari syndrome

• Published in: The Annals of thoracic surgery Vol. 58; no. 2; pp. 559 - 561
• Main Authors: Fernández-González, Angel L., Llorens, Rafael, Herreros, Jesús M., Cato, Jorge, Lecumberri, Francisco, Longo, Jesús
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.1994; Elsevier Science
• Subjects: Accidents, Traffic; Adult; Biological and medical sciences; Budd-Chiari Syndrome - complications; Budd-Chiari Syndrome - diagnosis; Diaphragm - injuries; Humans; Injuries of the thorax. Foreign bodies. Diseases due to physical agents; Male; Medical sciences; Middle Aged; Rupture - diagnosis; Thoracic Injuries - complications; Traumas. Diseases due to physical agents; Wounds and Injuries - diagnosis; Wounds, Nonpenetrating; Human; Respiratory disease; Rupture; Cardiovascular disease; Trauma; Venous disease; Vascular disease; Case study; Treatment; Budd Chiari syndrome; Digestive diseases; Diagnosis; Diaphragm
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(94)92258-6

We present 2 cases of delayed diagnosis of rupture of the right hemidiaphragm caused by blunt thoracic trauma, in which herniation of the liver toward the thoracic cavity had occurred. Both patients showed signs of noncardiogenic hepatic venous outflow obstruction. Venous outflow returned to normal an reintroduction of the liver into the abdominal cavity and closure of the defect in the diaphragm. The pathogenesis, diagnosis, and treatment of this problem are discussed.