Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Diaphragmatic Hernia of the Right Hepatic Lobe Mistaken for Diaphragmatic Paralysis in Adult

성인에서 횡격막마비로 오인한 우엽간 횡격막탈장 1예

  • Park, Jung-Hyun (Department of Internal Medicine, Namyangju Hanyang Hospital) ;
  • Hwang, Ki-Eun (Department of Internal Medicine, Wonkwang University College of Medicine) ;
  • Kim, So-Young (Department of Internal Medicine, Wonkwang University College of Medicine) ;
  • Kim, Hak-Ryul (Department of Internal Medicine, Wonkwang University College of Medicine) ;
  • Yang, Sei-Hoon (Department of Internal Medicine, Wonkwang University College of Medicine) ;
  • Kim, Hwi-Jung (Department of Internal Medicine, Wonkwang University College of Medicine) ;
  • Jeong, Eun-Taik (Department of Internal Medicine, Wonkwang University College of Medicine)
  • 박정현 (남양주한양병원 내과) ;
  • 황기은 (원광대학교 의과대학 내과학교실) ;
  • 김소영 (원광대학교 의과대학 내과학교실) ;
  • 김학렬 (원광대학교 의과대학 내과학교실) ;
  • 양세훈 (원광대학교 의과대학 내과학교실) ;
  • 김휘정 (원광대학교 의과대학 내과학교실) ;
  • 정은택 (원광대학교 의과대학 내과학교실)
  • Received : 2010.04.16
  • Accepted : 2010.04.21
  • Published : 2010.05.30
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Abstract

Diaphragmatic paralysis can be demonstrated through diaphragmatic elevation on chest X-ray after thoracic lung surgery or the placement of chest tubing. Additional causes of diaphragmatic paralysis are iatrogenic, mass, atelectasis, etc. For the diagnosis of diaphragmatic paralysis, it required some studies (fluoroscopy, computed tomography [CT], magnetic resonance imaging). Diaphragmatic hernia of the liver is a rare clinical entity, usually found after trauma in adults. Congenital diaphragmatic hernia in neonates requires surgery. Non-traumatic diaphragmatic hernia of the liver in an adult is a rare right-sided diaphragmatic hernia. On developing any symptoms, surgery must be performed. When diaphragmatic hernia is incidentally found in adults without trauma, it is placed under observation for a time period. We diagnosed the diaphragmatic herniation of a right hepatic lobe by 16-slice CT scan without surgery.

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References

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