Liver herniation mimicking a thoracic tumor with restoration of the liver surface structure on closure of the hernia orifice under thoracoscopic surgery. Issue 4 (20th April 2022)

• Record Type: Journal Article
• Authors: Ikeda, Takeshi; Sumiya, Ryusuke; Sugimura, Aya; Hirai, Hoshie; Nagasaka, Satoshi
• Is Part Of: Asian journal of endoscopic surgery. Volume 15:Issue 4(2022)
• Page Start: 805
• Page End: 808
• Publication Date: 2022-04-20
• Subjects: liver herniation -- thoracoscopic surgery -- thoracic tumor; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.13067
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Non‐congenital, non‐traumatic spontaneous diaphragmatic liver hernia in adults is extremely rare and sometimes misdiagnosed as a thoracic tumor. Almost all previous reports with a definitive diagnosis reported preservation; thus, differential diagnosis is extremely important for planning optimal management of such clinical conditions. An abnormal shadow in the right lower lung field was detected on chest radiography in a 61‐year‐old woman. Further imaging study revealed a 33‐mm diameter mass adjacent to the right diaphragm. Thoracoscopic surgery was performed as diagnostic treatment. We found a pale hemispherical herniated liver on the central tendon of the diaphragm. After repositioning the herniated liver, the orifice was closed with a non‐absorbable suture, and the surface of the liver returned to being a perfectly smooth surface. With this result, we believe that repair of diaphragmatic liver hernia through a minimally invasive procedure has great benefits for patients.