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Ann Thorac Surg 1994;58:559-561
© 1994 The Society of Thoracic Surgeons


Articles

Blunt traumatic rupture of the right hemidiaphragm and Budd-Chiari syndrome

Angel L. Fernández-González, MD*, Rafael Llorens, MD, Jesús M. Herreros, MD, Jorge Cato, MD, Francisco Lecumberri, MD, Jesús Longo, MD

Departments of Cardiovascular and Thoracic Surgery and Radiology, University Clinic of Navarra School of Medicine, University of Navarra, Pamplona, Spain

Accepted for publication November 19, 1993.

* Address reprint requests to Dr Fernández-González, Department of Cardiovascular and Thoracic Surgery, University Clinic of Navarra, 31008 Pamplona, Spain.

We present 2 cases of delayed diagnosis of rupture of the right hemidiaphragm caused by blunt thoracic trauma, in which herniation of the liver toward the thoracic cavity had occurred. Both patients showed signs of noncardiogenic hepatic venous outflow obstruction. Venous outflow returned to normal an reintroduction of the liver into the abdominal cavity and closure of the defect in the diaphragm. The pathogenesis, diagnosis, and treatment of this problem are discussed.







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Copyright © 1994 by The Society of Thoracic Surgeons.