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- Publisher Website: 10.3978/j.issn.2072-1439.2015.05.01
- Scopus: eid_2-s2.0-84930918275
- PMID: 26101655
- WOS: WOS:000355934800001
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Article: Beware the 'raised right hemidiaphragm' in a female patient with previous pneumothorax surgery: liver herniation through a massive endometrosis-related diaphragmatic fenestration
Title | Beware the 'raised right hemidiaphragm' in a female patient with previous pneumothorax surgery: liver herniation through a massive endometrosis-related diaphragmatic fenestration |
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Authors | |
Keywords | Catamenial pneumothorax Diaphragmatic hernia Pneumothorax Post-operative pain Video-assisted thoracic surgery (VATS) |
Issue Date | 2015 |
Publisher | Pioneer Bioscience Publishing Company. The Journal's web site is located at http://www.jthoracdis.com/ |
Citation | Journal of Thoracic Disease, 2015, v. 7 n. 5, p. E112-E116 How to Cite? |
Abstract | A 44-year-old non-smoking woman presented with recurrent right spontaneous pneumothorax 9 years after a right-side surgical pleurodesis via a video-assisted thoracic surgery (VATS) approach for suspected primary pneumothorax in another center. Histological examination of tissue excised during the earlier operation confirmed catamenial pneumothorax, but no further treatment was given. During the 9 years since, she had had persistent right lower chest pain and chest X-ray (CXR) had shown a 'persistently elevated right diaphragm', but these had been treated as iatrogenic neuropathic pain and phrenic nerve palsy respectively. A redo right surgical exploration was performed for the current recurrence. Intra-operatively, the right half of the liver was found to have herniated into the chest via a massive fenestration (10 cm × 9 cm) in the right hemidiaphragm. The defect was repaired via a combined thoracotomy and laparotomy approach. This case serves as an advisory that in patients with persistent ipsilateral chest pain and a raised hemidiaphragm following surgery for catamenial pneumothorax, diaphragmatic fenestration and abdominal visceral herniation should be suspected amongst the differential diagnoses. |
Persistent Identifier | http://hdl.handle.net/10722/214613 |
ISSN | 2023 Impact Factor: 2.1 2023 SCImago Journal Rankings: 0.651 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Yu, PSY | - |
dc.contributor.author | Sihoe, ADL | - |
dc.date.accessioned | 2015-08-21T11:40:59Z | - |
dc.date.available | 2015-08-21T11:40:59Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | Journal of Thoracic Disease, 2015, v. 7 n. 5, p. E112-E116 | - |
dc.identifier.issn | 2072-1439 | - |
dc.identifier.uri | http://hdl.handle.net/10722/214613 | - |
dc.description.abstract | A 44-year-old non-smoking woman presented with recurrent right spontaneous pneumothorax 9 years after a right-side surgical pleurodesis via a video-assisted thoracic surgery (VATS) approach for suspected primary pneumothorax in another center. Histological examination of tissue excised during the earlier operation confirmed catamenial pneumothorax, but no further treatment was given. During the 9 years since, she had had persistent right lower chest pain and chest X-ray (CXR) had shown a 'persistently elevated right diaphragm', but these had been treated as iatrogenic neuropathic pain and phrenic nerve palsy respectively. A redo right surgical exploration was performed for the current recurrence. Intra-operatively, the right half of the liver was found to have herniated into the chest via a massive fenestration (10 cm × 9 cm) in the right hemidiaphragm. The defect was repaired via a combined thoracotomy and laparotomy approach. This case serves as an advisory that in patients with persistent ipsilateral chest pain and a raised hemidiaphragm following surgery for catamenial pneumothorax, diaphragmatic fenestration and abdominal visceral herniation should be suspected amongst the differential diagnoses. | - |
dc.language | eng | - |
dc.publisher | Pioneer Bioscience Publishing Company. The Journal's web site is located at http://www.jthoracdis.com/ | - |
dc.relation.ispartof | Journal of Thoracic Disease | - |
dc.subject | Catamenial pneumothorax | - |
dc.subject | Diaphragmatic hernia | - |
dc.subject | Pneumothorax | - |
dc.subject | Post-operative pain | - |
dc.subject | Video-assisted thoracic surgery (VATS) | - |
dc.title | Beware the 'raised right hemidiaphragm' in a female patient with previous pneumothorax surgery: liver herniation through a massive endometrosis-related diaphragmatic fenestration | - |
dc.type | Article | - |
dc.identifier.email | Yu, PSY: yusyp@hku.hk | - |
dc.identifier.email | Sihoe, ADL: adls1@hku.hk | - |
dc.identifier.authority | Yu, PSY=rp01763 | - |
dc.identifier.authority | Sihoe, ADL=rp01889 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.3978/j.issn.2072-1439.2015.05.01 | - |
dc.identifier.pmid | 26101655 | - |
dc.identifier.pmcid | PMC4454844 | - |
dc.identifier.scopus | eid_2-s2.0-84930918275 | - |
dc.identifier.hkuros | 247069 | - |
dc.identifier.volume | 7 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | E112 | - |
dc.identifier.epage | E116 | - |
dc.identifier.isi | WOS:000355934800001 | - |
dc.publisher.place | Hong Kong | - |
dc.identifier.issnl | 2072-1439 | - |