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Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Abstract

Right diaphragmatic hernia after abdominal trauma is a rare injury. Most patients can be asymptomatic, and the diagnosis may be delayed for several years. The treatment of choice involves surgical repair via laparotomy. The authors treated a young patient with transdiaphragmatic herniation of the right hepatic lobe and delayed diagnosis using a laparoscopic approach and accomplished a successful complete repair. The 6-month radiologic follow-up assessment confirmed good results.

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Disclosures

Valentino Fiscon, Giuseppe Portale, Giovanni Migliorini, and Flavio Frigo have no conflicts of interest or financial ties to disclose.

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Correspondence to Valentino Fiscon.

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Video clip 2. (MOV 54909 kb)

Video clip 3. (MOV 55387 kb)

Supplementary material 4 (MOV 5102 kb)

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Fiscon, V., Portale, G., Migliorini, G. et al. Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm. Surg Endosc 25, 3423 (2011) doi:10.1007/s00464-011-1721-2

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Keywords

  • G-I
  • Gut
  • Hepatic
  • Hernia
  • Liver
  • Surgical, technical