| A Case of Diaphragmatic Hernia Mimicking Acute Pleural Effusion |
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Ji Seon Park1, Kyung Hee Lee2, Young Sam Kim3, Jae Hwa Cho1, Seung Min Kwak1, Jeong Seon Ryu1, Hae Seong Nam1 |
1Departments of Internal Medicine, Inha University School of Medicine, Incheon, Korea
2Departments of Radiology, Inha University School of Medicine, Incheon, Korea
3Departments of Thoracic Surgery, Inha University School of Medicine, Incheon, Korea |
| 급성 흉수처럼 보인 횡격막 탈장 1예 |
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박지선1, 이경희2, 김영삼3, 조재화1, 곽승민1, 류정선1, 남해성1 |
1인하대학교 의학전문대학원 내과학교실
2인하대학교 의학전문대학원 영상의학교실
3인하대학교 의학전문대학원 흉부외과학교실 |
Correspondence:
Jae Hwa Cho, Tel: +82-32-890-3490, Fax: +82-32-882-6578, Email: Jaehwa.cho@inha.ac.kr
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Received: 17 October 2013 • Revised: 27 December 2013 • Accepted: 21 March 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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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. |
| Key Words:
Diaphragmatic hernia; Pleural effusion; Chest pain; Computed tomography |
| 주제어:
횡격막 탈장; 흉막액; 가슴통증; 전산화 단층촬영 |
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