Massive ipsilateral pleural effusion caused by transdiaphragmatic intercostal hernia

Young Shun Wu, Yen Y. Lin, Chin Wang Hsu, Shi J. Chu, Shih Hung Tsai

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Transdiaphragmatic intercostal hernia (TDIH) is a rare consequence from blunt chest-abdominal injury. The diagnosis of TDIH is often delayed. We report a patient who had a history of left-sided upper abdominal blunt injury 2 months before admission presented with a newly developed, massive pleural effusion and clinical manifestations of intestinal obstruction. A multidetector-row computed tomography confirmed the diagnosis of traumatic diaphragm rupture and TDIH. He underwent thoracotomy with reduction of herniated viscera and repair of the diaphragm and chest wall. He was discharged uneventfully and remained well on follow-up at 2 months.

Original languageEnglish
JournalAmerican Journal of Emergency Medicine
Volume26
Issue number2
DOIs
Publication statusPublished - Feb 2008
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Emergency Medicine

Cite this