A CASE OF ASYMPTOMATIC TRAUMATIC RIGHT DIAPHRAGMATIC HERNIA WITH DISLOCATION OF THE WHOLE LIVER AND RIGHT HEMICOLON

Abstract

We report a rare case of traumatic right diaphragmatic hernia with dislocation of the whole liver and right hemicolon. A 46-year-old man was found to have abnormal elevation of the right diaphragm at a medical check-up six months after a traffic accident. Chest CT scan revealed right intrathoracic hernia, and the asymptomatic patient was followed for 3 years until the intrathoracic hernia was found to have grown. Chest and abdominal CT scans revealed right intrathoracic hernia of which contents were the whole liver, gallbladder, right hemicolon and antrum of the stomach. A 15×10cm rupture was present on the back of the right diaphragm and the ruptured diaphragm was repaired by using mesh through a thoracoabdominal approach.